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STEPHANIE CARTER M.D.
NPI 1497997407
Internal Medicine - Cardiovascular Disease in Hillsboro, OR

Active since April 06, 2009PECOS Enrolled
333 SE 7TH AVE STE 5400, HILLSBORO, OR 97123(503) 648-0731(503) 648-0731 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2018, Oct 1, 2016, Sep 20, 2016 (3 updates tracked since 2016).

About Stephanie Carter M.d. NPPES

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

STEPHANIE CARTER M.D. (NPI 1497997407) is an individual cardiovascular disease provider in Hillsboro, Oregon, licensed in Oregon (MD176680) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2009).

NPPES Registry Identity

NPI1497997407
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSTEPHANIE CARTERCredential: M.D.
Location Address333 SE 7TH AVE STE 5400Hillsboro, OR 97123-4165
Mailing Address333 Se 7th Ave Ste 5400Hillsboro, OR 97123-4165 · (503) 648-0731 · Fax (503) 648-0731
Phone(503) 648-0731
Fax(503) 648-0731
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2009
Enumeration DateApril 6, 2009
Last NPPES UpdateFebruary 15, 20183 updates tracked since enumeration
✔ NPI 1497997407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OR · MD176680
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
333 SE 7TH AVE STE 5400, Hillsboro, OR 97123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Carter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092029124
PECOS Enrollment IDI20161003002186, I20210701001977
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Stephanie Carter reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tuality Healthcare
0.1 mi
Psychiatric Hospital
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 185 clinicians in this Medicare group
NPI 1073817714 (503) 681-1111
Bay Area Hospital District
160 mi
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group
NPI 1225016561 (541) 269-8124
Ukiah Adventist Hospital
440 mi
General Acute Care Hospital
275 HOSPITAL DR
Ukiah, CA 95482
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1235120676 (707) 463-7360
Coastal Cardiovascular Care Inc
912 mi
Interventional Cardiology
700 GARDEN VIEW CT STE 204
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1790265445 (760) 452-6334
Western New York Medical Practice PC
2,209 mi
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1306214689 (585) 786-8350
Rochester General Hospital
2,219 mi
Family Medicine
2350 RIDGEWAY AVE
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1356412712 (585) 922-3150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
106 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services28 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.
30 services18 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
27 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97123 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 6

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

HILLSBORO CARDIOLOGY, PC
Clinic/Center (Health Service)
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731
BENJAMIN HOOVER PA-C
Physician Assistant
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731
MICHAEL DARREN MITCHELL M.D.
Internal Medicine (Cardiovascular Disease)
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731
EMELIA VANDERBURG HANNERS PA-C
Physician Assistant
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731
DR. DANIEL W ISENBARGER MD
Internal Medicine (Cardiovascular Disease)
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731
DR. ARMANDO DEGUZMAN CAMARA MD
Internal Medicine (Cardiovascular Disease)
333 SE 7TH AVE STE 5400
HILLSBORO, OR 97123
Washington County (503) 648-0731

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 Stephanie Carter's NPI number?

The NPI number for Stephanie Carter is 1497997407. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Stephanie Carter located?

Stephanie Carter practices at 333 SE 7th Ave Ste 5400, Hillsboro, OR 97123. The listed phone number is (503) 648-0731.

What is Stephanie Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephanie Carter enrolled in Medicare?

Yes. Stephanie Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Carter reassigns Medicare benefits to 6 organizations: Tuality Healthcare (Hillsboro, OR), Bay Area Hospital District (Coos Bay, OR), Ukiah Adventist Hospital (Ukiah, CA), Coastal Cardiovascular Care Inc (Encinitas, CA), Western New York Medical Practice PC (Warsaw, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Carter accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stephanie Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Carter affiliated with any hospitals?

According to CMS data, Stephanie Carter is affiliated with Bay Area Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Carter was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.