HARRY A CARTER M.D.
NPI 1538165261
Family Medicine in Flora, IL

Q: What is Harry Carter's NPI number?

The NPI number for Harry Carter is 1538165261. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Harry Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harry Carter was last updated on March 5, 2024. 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.

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment

929 STACEY BURK DR, FLORA, IL 62839(618) 662-2131 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Harry A Carter M.d. NPPES

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

HARRY A CARTER M.D. (NPI 1538165261) is an individual family medicine provider in Flora, Illinois, licensed in Illinois (036096820) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1538165261

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameHARRY A CARTERCredential: M.D.

Location Address929 STACEY BURK DRFlora, IL 62839-3241

Mailing Address2074 Bobwhite RdLouisville, IL 62858-2032 · (618) 599-6926 · Fax (618) 665-4591

Phone(618) 662-2131

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995

Enumeration DateJune 27, 2005

Last NPPES UpdateMarch 5, 2024

NPPES CertifiedMarch 5, 2024

✔ NPI 1538165261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036096820

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.

929 STACEY BURK DR, Flora, IL 62839

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Other Identifiers 1

Medicaid036057125IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Harry A 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 ID244360071

PECOS Enrollment IDI20100604000815

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 Reassignment

Medicare enrollment records show Harry Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Clay

Same address

Rural Health

929 STACEY BURK DR
Flora, IL 62839

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1184655136 (Illinois)
22 clinicians in this Medicare group

NPI 1811946411 (618) 662-2191

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

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.

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.

46 services31 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62839 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 25

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

11 suppliers158 claims405 services$6.16 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

1 supplier16 claims17 services$2.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers61 claims101 services$1.11 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers25 claims25 services$35.44 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers11 claims21 services$49.50 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers19 claims19 services$87.20 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers25 claims53 services$37.61 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers21 claims21 services$22.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers35 claims152 services$2.39 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers15 claims15 services$9.31 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier17 claims17 services$70.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier37 claims37 services$18.02 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$8.00 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers25 claims25 services$43.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers91 claims91 services$111.68 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$38.03 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

6 suppliers45 claims2,760 services$6.69 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers51 claims11,481 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,200 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers34 claims2,520 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

4 suppliers57 claims299,250 services$0.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier31 claims31 services$23.46 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

7 suppliers91 claims91 services$190.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$35.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers91 claims91 services$25.26 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 15

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

JESSICA LEWIS MPT

Physical Therapist

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-8060

SCOUT SANDERS

Social Worker (Clinical)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2131

BRANDON CYCHOLL

Family Medicine

929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC
FLORA, IL 62839

Clay County (618) 662-2131

JENNIFER HENSON RN, CHC

Registered Nurse

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

MRS. ANGELA CASOLARI APN

Nurse Practitioner (Family)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

HEATHER LEIGH IRVIN FNP-C

Nurse Practitioner (Family)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2131

MRS. GAYLE LOAR ERXLEBEN APN

Nurse Practitioner (Adult Health)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

MS. JEANNE E. HOLDREN APN

Nurse Practitioner (Psychiatric/Mental Health)

929 STACEY BURK DR
FLORA, IL 62839

Clay County (618) 662-2191

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 Harry Carter's NPI number?

The NPI number for Harry Carter is 1538165261. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Harry Carter located?

Harry Carter practices at 929 Stacey Burk Dr, Flora, IL 62839. The listed phone number is (618) 662-2131.

What is Harry Carter's specialty?

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

Is Harry Carter enrolled in Medicare?

Yes. Harry 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.

Which organization bills Medicare for Harry Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harry Carter reassigns Medicare benefits to County Of Clay (Flora, IL). The 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 Harry Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harry Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Harry 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 Harry Carter affiliated with any hospitals?

According to CMS data, Harry Carter is affiliated with St Anthonys Memorial Hospital, Good Samaritan Regional Hlth Center, Fairfield Memorial Hospital 1 and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Harry Carter was last updated on March 5, 2024. 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.