CRAIG DARYL CARTER JR.
NPI 1508420779
Podiatrist in Chicago, IL

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
5310 N SHERIDAN RD STE 1, CHICAGO, IL 60640(773) 205-0106 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Aug 22, 2023, Apr 25, 2019 (3 updates tracked since 2019).

About Craig Daryl Carter Jr. NPPES

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

CRAIG DARYL CARTER JR. (NPI 1508420779) is an individual podiatrist in Chicago, Illinois, licensed in Illinois (016006011) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1508420779
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameCRAIG DARYL CARTER JR.
Location Address5310 N SHERIDAN RD STE 1Chicago, IL 60640-2515
Mailing Address5310 N Sheridan Rd Ste 1Chicago, IL 60640-2515 · (773) 205-0106
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1508420779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in IL · 016006011
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5310 N SHERIDAN RD STE 1, Chicago, IL 60640

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

Craig Daryl Carter Jr. 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 ID9335506641
PECOS Enrollment IDI20230601000463
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 13

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
2,590 services1,258 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
2,315 services1,115 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
1,495 services875 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
295 services295 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
228 services191 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
170 services159 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 3

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

Podiatrist
5310 N SHERIDAN RD STE 1
CHICAGO, IL 60640
Podiatrist
5310 N SHERIDAN RD STE 1
CHICAGO, IL 60640
Podiatrist
5310 N SHERIDAN RD STE 1
CHICAGO, IL 60640

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 Craig Carter's NPI number?

The NPI number for Craig Carter is 1508420779. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Craig Carter located?

Craig Carter practices at 5310 N Sheridan Rd Ste 1, Chicago, IL 60640. The listed phone number is (773) 205-0106.

What is Craig Carter's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Craig Carter enrolled in Medicare?

Yes. Craig 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 Craig Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Craig 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.

When was this NPI record last updated?

The NPPES record for Craig Carter was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.