RICHARD B CARTER JR. MD
NPI 1508065269
Internal Medicine in Jefferson City, TN

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
120 HOSPITAL DR, SUITE 130, JEFFERSON CITY, TN 37760(865) 475-4742(865) 262-0100 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard B Carter Jr. Md NPPES

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

RICHARD B CARTER JR. MD (NPI 1508065269) is an individual internal medicine provider in Jefferson City, Tennessee, licensed in Tennessee (42180) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1508065269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD B CARTER JR.Credential: MD
Location Address120 HOSPITAL DR, SUITE 130Jefferson City, TN 37760-5279
Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747 · Fax (865) 584-1363
Fax(865) 262-0100
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateJuly 13, 2007
Last NPPES UpdateSeptember 27, 2012
NPI 1508065269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 42180
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.
120 HOSPITAL DR, Jefferson City, TN 37760

Other Identifiers 5

Other4132310TN · Bcbs Pin
Medicaid37066301TN
Other37066301TN · Medicare Legacy Group
Medicare PIN3000602TN
Other37066303TN · Medicaid Legacy Group

Accepted 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

Richard B Carter Jr. Md 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 ID4284729559
PECOS Enrollment IDI20071001000861
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 36

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.
681 services332 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
613 services307 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
492 services299 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
463 services296 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
273 services193 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.
265 services265 patients

Hospital Affiliations CMS Care Compare 4

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37760 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
17 suppliers65 claims152 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims28 services$1.17 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$24.25 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers13 claims1,890 services$1.45 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$7.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims30 services$1.39 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.

Physician Assistant
120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760
Student in an Organized Health Care Education/Training Program
120 HOSPITAL DR, SUITE 230
JEFFERSON CITY, TN 37760
Internal Medicine
120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760
Family Medicine
120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760
Internal Medicine
120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760
Internal Medicine
120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760
Family Medicine
120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760
Internal Medicine
120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760

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 Richard Carter's NPI number?

The NPI number for Richard Carter is 1508065269. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Richard Carter located?

Richard Carter practices at 120 Hospital Dr Suite 130, Jefferson City, TN 37760. The listed phone number is (865) 475-4742.

What is Richard Carter's specialty?

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

Is Richard Carter enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Carter accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list Richard 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 Richard Carter affiliated with any hospitals?

According to CMS data, Richard Carter is affiliated with University Health System, Inc, Morristown Hamblen Hospital Association, Tennova Healthcare-Jefferson Memorial Hospital and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Carter was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.