BRADNEY LEE CARTER D.O
NPI 1619312980
Ophthalmology in Mason City, IA

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
80.64/100
CMS Quality Rating
3121 4TH ST SW, MASON CITY, IA 50401(641) 450-0206 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradney Lee Carter D.o NPPES

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

BRADNEY LEE CARTER D.O (NPI 1619312980) is an individual ophthalmology provider in Mason City, Iowa, licensed in Iowa (DO-04746) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1619312980
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBRADNEY LEE CARTERCredential: D.O
Location Address3121 4TH ST SWMason City, IA 50401-1581
Mailing Address3121 4th St SwMason City, IA 50401-1581 · (641) 450-0206
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 1, 2013
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1619312980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IA · DO-04746
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3121 4TH ST SW, Mason City, IA 50401

Accepted 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

Bradney Lee Carter D.o 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 ID6103064035
PECOS Enrollment IDI20150720002457
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 22

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,736 services1,654 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
685 services637 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
645 services545 patients
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.
533 services462 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
417 services407 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
224 services100 patients

Hospital Affiliations CMS Care Compare

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

80.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost35.47

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers34 claims34 services$50.37 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims30 services$35.85 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims26 services$45.84 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 10

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

Ophthalmology
3121 4TH ST SW
MASON CITY, IA 50401
Ophthalmology
3121 4TH ST SW
MASON CITY, IA 50401
Optometrist
3121 4TH ST SW
MASON CITY, IA 50401
Optometrist
3121 4TH ST SW
MASON CITY, IA 50401
Ophthalmology
3121 4TH ST SW
MASON CITY, IA 50401
Optometrist
3121 4TH ST SW
MASON CITY, IA 50401
Ophthalmology
3121 4TH ST SW
MASON CITY, IA 50401
Ophthalmology
3121 4TH ST SW
MASON CITY, IA 50401

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 Bradney Carter's NPI number?

The NPI number for Bradney Carter is 1619312980. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Bradney Carter located?

Bradney Carter practices at 3121 4th St SW, Mason City, IA 50401. The listed phone number is (641) 450-0206.

What is Bradney Carter's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bradney Carter enrolled in Medicare?

Yes. Bradney 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 Bradney Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Bradney 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 Bradney Carter affiliated with any hospitals?

According to CMS data, Bradney Carter is affiliated with Mercyone North Iowa Medical Center.

When was this NPI record last updated?

The NPPES record for Bradney Carter was last updated on September 28, 2023. 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.