DR. MICHAEL ALLEN CARTER MD
NPI 1639293871
Family Medicine in Erin, TN

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
4891 EAST MAIN STREET, ERIN, TN 37061(931) 289-4201(931) 289-4204 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Allen Carter Md NPPES

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

DR. MICHAEL ALLEN CARTER MD (NPI 1639293871) is an individual family medicine provider in Erin, Tennessee, licensed in Tennessee (45033) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2007).

NPPES Registry Identity

NPI1639293871
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL ALLEN CARTERCredential: MD
Location Address4891 EAST MAIN STREETErin, TN 37061
Mailing Address4891 E Main StErin, TN 37061-4115 · (931) 289-4201 · Fax (931) 289-4204
Fax(931) 289-4204
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2007
Enumeration DateMarch 16, 2007
Last NPPES UpdateJune 7, 2024
NPPES CertifiedJune 7, 2024
NPI 1639293871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 45033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 45033 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 45033 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 45033 (TN)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 45033 (TN)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 45033 (TN)
Also ListedSurgeryTaxonomy 208600000X · License 45033 (TN)
4891 EAST MAIN STREET, Erin, TN 37061

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

Dr. Michael Allen 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 ID2567503162
PECOS Enrollment IDI20100105000131
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 44

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
715 services152 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.
622 services322 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
312 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
307 services58 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.
256 services256 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
237 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Ascension Saint Thomas Three Rivers

Critical Access Hospitals · Waverly, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number441303
Location451 Highway 13 SouthWaverly, TN 37185 · Humphreys County
Emergency services

Houston County Community Hospital

Critical Access Hospitals · Erin, TN
OwnershipGovernment - Local
CMS Certification Number441322
Location5001 East Main StreetErin, TN 37061 · Houston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37061 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
7 suppliers25 claims72 services$6.26 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.40 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier15 claims17 services$8.06 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier13 claims390 services$2.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers25 claims26 services$84.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers24 claims72 services$33.27 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

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

Family Medicine
4891 EAST MAIN STREET
ERIN, TN 37061

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 Michael Carter's NPI number?

The NPI number for Michael Carter is 1639293871. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Michael Carter located?

Michael Carter practices at 4891 East Main Street, Erin, TN 37061. The listed phone number is (931) 289-4201.

What is Michael Carter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Carter enrolled in Medicare?

Yes. Michael 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 Michael Carter accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Michael 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 Michael Carter affiliated with any hospitals?

According to CMS data, Michael Carter is affiliated with Tennova Healthcare-Clarksville, Tristar Horizon Medical Center, Henry County Medical Center, Ascension Saint Thomas Three Rivers and Houston County Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Carter was last updated on June 7, 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.