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DANIELLE MARIE CARTER M.D.
NPI 1508187451
Family Medicine in Jacksonville, FL

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372(904) 308-2908 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Danielle Marie Carter M.d. NPPES

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

DANIELLE MARIE CARTER M.D. (NPI 1508187451) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (TRN 15396) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Southern Illinois University School Of Medicine (2010).

NPPES Registry Identity

NPI1508187451
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELLE MARIE CARTERCredential: M.D.
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4712
Mailing AddressPo Box 14192Belfast, ME 04915-4032 · (904) 308-7372 · Fax (904) 308-2908
Phone(904) 308-7372
Fax(904) 308-2908
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1508187451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · TRN 15396
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2627 RIVERSIDE AVE, Jacksonville, FL 32204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Danielle Marie 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 ID244464154
PECOS Enrollment IDI20160301002344
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

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.
26 services14 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost45.9

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%151 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
53%275 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
69%222 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
53%74 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%954 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
51%376 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%212 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
75%1,042 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%1,042 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
72%1,042 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
68%1,042 patients
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.

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.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. HANAIN FAZAL DO
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
YVONNE NYAKIO KAMAU MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DANIEL B TEAHAN PT
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
WYNONA FRANCHESCA DIZON
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MRS. SONYA JEAN DOMINGUEZ M.D.
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
KRISTEN M. CURTIS PT
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
FARADIA PIERRE MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372

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 Danielle Carter's NPI number?

The NPI number for Danielle Carter is 1508187451. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Danielle Carter located?

Danielle Carter practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Danielle Carter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Danielle Carter enrolled in Medicare?

Yes. Danielle 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 Danielle Carter accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Danielle 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 Danielle Carter affiliated with any hospitals?

According to CMS data, Danielle Carter is affiliated with Ascension St Vincent's Riverside.

When was this NPI record last updated?

The NPPES record for Danielle Carter was last updated on January 13, 2016. 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.