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H. ANTHONY CARTER M.D.
NPI 1487750733
Internal Medicine in New London, CT

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
194 HOWARD ST, NEW LONDON, CT 06320(860) 444-3366(860) 444-3377 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About H. Anthony Carter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

H. ANTHONY CARTER M.D. (NPI 1487750733) is an individual internal medicine provider in New London, Connecticut, licensed in Connecticut (52597) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1994).

NPPES Registry Identity

NPI1487750733
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameH. ANTHONY CARTERCredential: M.D.
Location Address194 HOWARD STNew London, CT 06320-5544
Mailing Address194 Howard StNew London, CT 06320-5544 · (860) 444-3366 · Fax (860) 444-3377
Phone(860) 444-3366
Fax(860) 444-3377
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1994
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1487750733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 52597
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
194 HOWARD ST, New London, CT 06320
Open in Google Maps ↗

Other Identifiers 2

Medicaid1487750733CT
OtherG90415GA · Upin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

H. Anthony Carter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799951265
PECOS Enrollment IDI20140304001317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services143 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
77 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services45 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims48 services$6.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCINDA CAVANAUGH APRN
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 771-4960
WILTON CRAIG CALDERON D.O.
Family Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
DANIA ALEXA WILSON NP
Nurse Practitioner (Adult Health)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
JASON LEE THARPE PAC
Physician Assistant (Surgical)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0564
DR. DAVID FRANK REISFELD M.D.
Surgery
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
ELIZABETH LYNN DMOWSKI APRN
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3366
DR. SAMUEL L DENGLER M.D.
Internal Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
MS. SUSAN LAW MITCHELL RDN
Dietitian, Registered
194 HOWARD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is H. Carter's NPI number?

The NPI number for H. Carter is 1487750733. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is H. Carter located?

H. Carter practices at 194 Howard St, New London, CT 06320. The listed phone number is (860) 444-3366.

What is H. Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is H. Carter enrolled in Medicare?

Yes. H. Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is H. Carter affiliated with any hospitals?

According to CMS data, H. Carter is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for H. Carter was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.