MS. DOROTHY CARTER MD
NPI 1578973764
Obstetrics & Gynecology in Lewiston, ME

Q: What is Dorothy Carter's NPI number?

The NPI number for Dorothy Carter is 1578973764. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Q: What is Dorothy Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Carter was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 April 28, 2014PECOS EnrolledAccepts Medicare Assignment

83.95/100

CMS Quality Rating

12 HIGH ST STE 301, LEWISTON, ME 04240(207) 795-5770 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Dorothy Carter Md NPPES

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

MS. DOROTHY CARTER MD (NPI 1578973764) is an individual obstetrics & gynecology provider in Lewiston, Maine, licensed in Maine (MD22390) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of State Un Of Ny, Stony Brook School Of Dental Med (2014).

NPPES Registry Identity

NPI1578973764

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMS. DOROTHY CARTERCredential: MD

Location Address12 HIGH ST STE 301Lewiston, ME 04240-7690

Mailing Address12 High St Ste 301Lewiston, ME 04240-7690 · (207) 795-5770

Phone(207) 795-5770

Sole ProprietorNo

Medical School CMSState Un Of Ny, Stony Brook School Of Dental MedGraduated 2014

Enumeration DateApril 28, 2014

Last NPPES UpdateAugust 20, 2024

NPPES CertifiedAugust 20, 2024

✔ NPI 1578973764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ME · MD22390

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

12 HIGH ST STE 301, Lewiston, ME 04240

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ms. Dorothy Carter Md 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 ID7214226414

PECOS Enrollment IDI20181224000349

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services19 patients

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

83.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.69

Promoting Interoperability

Improvement Activities

Cost

70.81

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.

ANNA ROSE GERVAIS DO

Obstetrics & Gynecology

12 HIGH ST STE 301
LEWISTON, ME 04240

Androscoggin County (716) 961-8135

KRISTIN MOODY CNM

Advanced Practice Midwife

12 HIGH ST STE 301
LEWISTON, ME 04240

Androscoggin County (207) 795-5770

RACHAEL LEE BAILLARGEON FNP

Nurse Practitioner (Family)

12 HIGH ST STE 301
LEWISTON, ME 04240

Androscoggin County (207) 795-5770

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 Dorothy Carter's NPI number?

The NPI number for Dorothy Carter is 1578973764. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Dorothy Carter located?

Dorothy Carter practices at 12 High St Ste 301, Lewiston, ME 04240. The listed phone number is (207) 795-5770.

What is Dorothy Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dorothy Carter enrolled in Medicare?

Yes. Dorothy 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 Dorothy Carter accept?

Health plans from Anthem Blue Cross and Blue Shield list Dorothy 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 Dorothy Carter affiliated with any hospitals?

According to CMS data, Dorothy Carter is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Dorothy Carter was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.