STACEY C CARTER M.D.
NPI 1619248184
Urology in Santa Monica, CA

Active since January 15, 2012PECOS EnrolledAccepts Medicare Assignment
1260 15TH ST, SUITE 1200, SANTA MONICA, CA 90404(310) 451-8751 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey C Carter M.d. NPPES

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

STACEY C CARTER M.D. (NPI 1619248184) is an individual urology provider in Santa Monica, California, licensed in California (A116794) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2009).

NPPES Registry Identity

NPI1619248184
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameSTACEY C CARTERCredential: M.D.
Location Address1260 15TH ST, SUITE 1200Santa Monica, CA 90404-1135
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 451-8751
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2009
Enumeration DateJanuary 15, 2012
Last NPPES UpdateDecember 1, 2021
NPI 1619248184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A116794
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1260 15TH ST, Santa Monica, CA 90404

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

Stacey C 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 ID7618288002
PECOS Enrollment IDI20150626000266
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Dentist (General Practice)
1260 15TH ST
SANTA MONICA, CA 90404
Internal Medicine
1260 15TH ST, 1501
SANTA MONICA, CA 90404
Specialist
1260 15TH ST, SUITE 600
SANTA MONICA, CA 90404
Clinic/Center (Ambulatory Surgical)
1260 15TH ST, SUITE 1401
SANTA MONICA, CA 90404
Podiatrist (Primary Podiatric Medicine)
1260 15TH ST, SUITE 1014
SANTA MONICA, CA 90404
Pharmacy (Community/Retail Pharmacy)
1260 15TH ST, STE 100
SANTA MONICA, CA 90404
Obstetrics & Gynecology
1260 15TH ST, SUITE 616
SANTA MONICA, CA 90404
Family Medicine
1260 15TH ST
SANTA MONICA, CA 90404

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 Stacey Carter's NPI number?

The NPI number for Stacey Carter is 1619248184. It was assigned to this individual provider in the NPPES registry on January 15, 2012.

Where is Stacey Carter located?

Stacey Carter practices at 1260 15th St Suite 1200, Santa Monica, CA 90404. The listed phone number is (310) 451-8751.

What is Stacey Carter's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stacey Carter enrolled in Medicare?

Yes. Stacey 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.

When was this NPI record last updated?

The NPPES record for Stacey Carter was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.