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DR. JEFFREY CARTER M.D.
NPI 1568641850
Surgery in Winchester, VA

Active since November 02, 2007PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
25 E BOSCAWEN ST STE 300, WINCHESTER, VA 22601(716) 262-4375 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Jun 10, 2021, Feb 27, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Jeffrey Carter M.d. NPPES

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

DR. JEFFREY CARTER M.D. (NPI 1568641850) is an individual surgery provider in Winchester, Virginia, licensed in Pennsylvania (MD473071) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1568641850
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEFFREY CARTERCredential: M.D.
Location Address25 E BOSCAWEN ST STE 300Winchester, VA 22601-4799
Mailing Address25 E Boscawen St Ste 300Winchester, VA 22601-4799 · (716) 262-4375
Phone(716) 262-4375
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 2, 2007
Last NPPES UpdateJuly 31, 20235 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1568641850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD473071✔ Licensed in OH · 57013474
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 280606 (NY)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 0101259863 (VA)
25 E BOSCAWEN ST STE 300, Winchester, VA 22601
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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. Jeffrey 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 ID143538934
PECOS Enrollment IDI20150928002059, I20210408001357
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

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 Jeffrey Carter's NPI number?

The NPI number for Jeffrey Carter is 1568641850. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Jeffrey Carter located?

Jeffrey Carter practices at 25 E Boscawen St Ste 300, Winchester, VA 22601. The listed phone number is (716) 262-4375.

What is Jeffrey Carter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeffrey Carter enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Carter affiliated with any hospitals?

According to CMS data, Jeffrey Carter is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Jeffrey Carter was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.