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DR. DONNIE LEE CARTER JR. M.D.
NPI 1508390865
Internal Medicine in Harrisburg, PA

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Jun 19, 2020, Apr 13, 2017 (3 updates tracked since 2017).

About Dr. Donnie Lee Carter Jr. M.d. NPPES

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

DR. DONNIE LEE CARTER JR. M.D. (NPI 1508390865) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD471468) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Drexel University College Of Medicine (2017).

NPPES Registry Identity

NPI1508390865
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONNIE LEE CARTER JR.Credential: M.D.
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 231-8772 · Fax (717) 231-8435
Phone(717) 231-8772
Fax(717) 231-8435
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateJune 1, 20223 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1508390865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD471468
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.
111 S FRONT ST, Harrisburg, PA 17101
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Other Identifiers 1

Medicaid103807010PA

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

Dr. Donnie Lee Carter Jr. 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 ID8921372855
PECOS Enrollment IDI20200928000948
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
382 services153 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
83 services81 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

JOSEPH ELI BENAKNIN D.O.
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5908
DAVID BITTNER METZGER MD
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
MRS. HOLLY ANN MALEY CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
DOUGLAS JOHNSON CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
QUAN TRAN M.D.
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
SHOUK MANSOUR RD, CDCES
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3131
THERESA NGUYEN PHARMD
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3338
JONELLE R DERK CRNP
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3380

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 Donnie Carter's NPI number?

The NPI number for Donnie Carter is 1508390865. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Donnie Carter located?

Donnie Carter practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 231-8772.

What is Donnie Carter's specialty?

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

Is Donnie Carter enrolled in Medicare?

Yes. Donnie 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 Donnie Carter affiliated with any hospitals?

According to CMS data, Donnie Carter is affiliated with Upmc Carlisle and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Donnie Carter was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.