ANDREA MCDANIEL CARTER M.D.
NPI 1497918825
Obstetrics & Gynecology in Hattiesburg, MS

Q: What is Andrea Carter's NPI number?

The NPI number for Andrea Carter is 1497918825. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Andrea Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Carter was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment

83.64/100

CMS Quality Rating

6524 U S HIGHWAY 98, HATTIESBURG, MS 39402(601) 268-9393 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Mcdaniel Carter M.d. NPPES

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

ANDREA MCDANIEL CARTER M.D. (NPI 1497918825) is an individual obstetrics & gynecology provider in Hattiesburg, Mississippi, licensed in Mississippi (20829) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Merit Health Wesley, and is a graduate of University Of Mississippi School Of Medicine (2002).

NPPES Registry Identity

NPI1497918825

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameANDREA MCDANIEL CARTERCredential: M.D.

Location Address6524 U S HIGHWAY 98Hattiesburg, MS 39402-8569

Mailing Address6524 U S Highway 98Hattiesburg, MS 39402-8569 · (601) 268-9393

Phone(601) 268-9393

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2002

Enumeration DateJuly 7, 2008

Last NPPES UpdateOctober 30, 2015

✔ NPI 1497918825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MS · 20829

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6524 U S HIGHWAY 98, Hattiesburg, MS 39402

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Other Identifiers 1

Medicaid02251047MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Andrea Mcdaniel 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 ID4981898863

PECOS Enrollment IDI20101104000903

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 6

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

85 services85 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

85 services85 patients

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.

39 services31 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

32 services32 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.

22 services20 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Merit Health Wesley

Acute Care Hospitals · Hattiesburg, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250094

Location5001 W Hardy StHattiesburg, MS 39402 · Lamar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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.

83.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

45.47

Reported Quality Measures

Breast Cancer Screening

90%258 patients4/55-star benchmark: 93%

Cervical Cancer Screening

87%938 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

2%93 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

73%117 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%2,026 patients4/55-star benchmark: 100%

e-Prescribing

93%1,362 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%1,208 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

51%1,608 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 3% · 1,144 patients

3%1,144 patients

Provide Patients Electronic Access to Their Health Information

93%1,253 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 10

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

DR. WILLIAM L PACE M.D.

Obstetrics & Gynecology