PAUL DOUGLAS CARTER PA-C
NPI 1639205792
Physician Assistant - Medical in Philadelphia, PA

Active since February 25, 2007PECOS EnrolledAccepts Medicare Assignment
2701 HOLME AVE STE 302, PHILADELPHIA, PA 19152(215) 335-7705 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2022, Feb 24, 2021 (2 updates tracked since 2021).

About Paul Douglas Carter Pa-c NPPES

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

PAUL DOUGLAS CARTER PA-C (NPI 1639205792) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA001818L) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1639205792
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL DOUGLAS CARTERCredential: PA-C
Location Address2701 HOLME AVE STE 302Philadelphia, PA 19152-2029
Mailing Address8019 Frankford AvePhiladelphia, PA 19136-2786 · (215) 332-1300 · Fax (215) 332-5219
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 25, 2007
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
NPI 1639205792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA001818L
Also ListedPhysician AssistantTaxonomy 363A00000X · License OA-000216L (PA)
2701 HOLME AVE STE 302, Philadelphia, PA 19152

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

Paul Douglas Carter Pa-c 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 ID1759569940
PECOS Enrollment IDI20110616000427
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 7

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.
186 services103 patients
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.
112 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers41 claims78 services$5.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims21 services$0.86 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 3

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

Family Medicine
2701 HOLME AVE STE 302
PHILADELPHIA, PA 19152
Family Medicine
2701 HOLME AVE STE 302
PHILADELPHIA, PA 19152
Family Medicine
2701 HOLME AVE STE 302
PHILADELPHIA, PA 19152

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 Paul Carter's NPI number?

The NPI number for Paul Carter is 1639205792. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Paul Carter located?

Paul Carter practices at 2701 Holme Ave Ste 302, Philadelphia, PA 19152. The listed phone number is (215) 335-7705.

What is Paul Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Carter enrolled in Medicare?

Yes. Paul 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 Paul Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul 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 Paul Carter affiliated with any hospitals?

According to CMS data, Paul Carter is affiliated with Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Paul Carter was last updated on July 29, 2022. 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.