CYNTHIA MARIE CARTER DO
NPI 1568968089
Pediatrics in Albuquerque, NM

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113(505) 298-2505(505) 298-2985 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cynthia Marie Carter Do NPPES

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

CYNTHIA MARIE CARTER DO (NPI 1568968089) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (DO2021-0001) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568968089
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCYNTHIA MARIE CARTERCredential: DO
Location Address5904 HOLLY AVE NEAlbuquerque, NM 87113-2472
Mailing Address5904 Holly Ave NeAlbuquerque, NM 87113-2472 · (505) 298-2505 · Fax (505) 298-2985
Fax(505) 298-2985
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJune 29, 2021
✔ NPI 1568968089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · DO2021-0001
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5904 HOLLY AVE NE, Albuquerque, NM 87113

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

Cynthia Marie Carter Do 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 ID8426306408
PECOS Enrollment IDI20250107000047
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 Cynthia Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Gastroenterology
1020 GRINGS HILL RD
Reading, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87113 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

Physician Assistant
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113

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 Cynthia Carter's NPI number?

The NPI number for Cynthia Carter is 1568968089. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Cynthia Carter located?

Cynthia Carter practices at 5904 Holly Ave NE, Albuquerque, NM 87113. The listed phone number is (505) 298-2505.

What is Cynthia Carter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cynthia Carter enrolled in Medicare?

Yes. Cynthia 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 Cynthia Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carter reassigns Medicare benefits to Stc Pediatrics LLC (Reading, PA). 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 Cynthia Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Carter was last updated on July 22, 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.