DR. THOMAS J CARTER DO, PHD
NPI 1649464439
Family Medicine in Wheatfield, IN
About Dr. Thomas J Carter Do, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS J CARTER DO, PHD (NPI 1649464439) is an individual family medicine provider in Wheatfield, Indiana, licensed in Indiana (02008626A) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas J Carter Do, Phd 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.
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Carter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valparaiso, IN 46383
- Reassigned Medicare billing, Indiana enrollment
- 153 clinicians in this Medicare group
Valparaiso, IN 46383
- Reassigned Medicare billing, Indiana enrollment
- 177 clinicians in this Medicare group
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 11 clinicians in this Medicare group
Trinidad, CO 81082
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1184616740 (Colorado)
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Health-La Porte
Acute Care Hospitals · La Porte, INNorthwest Health - Porter
Acute Care Hospitals · Valparaiso, INFranciscan Health Crown Point
Acute Care Hospitals · Crown Point, INFranciscan Health Rensselaer, Inc
Critical Access Hospitals · Rensselaer, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Thomas Carter's NPI number?
The NPI number for Thomas Carter is 1649464439. It was assigned to this individual provider in the NPPES registry on September 5, 2007.
Where is Thomas Carter located?
Thomas Carter practices at 3988 W State Road 10, Wheatfield, IN 46392. The listed phone number is (219) 987-3581.
What is Thomas Carter's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Carter enrolled in Medicare?
Yes. Thomas 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.
Which organizations bill Medicare for Thomas Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Carter reassigns Medicare benefits to 4 organizations: La Porte Clinic Company LLC (Valparaiso, IN), Porter Physician Services LLC (Valparaiso, IN), Colorado Health And Wellness, Inc. (Colorado Springs, CO) and Trinidad Area Health Association (Trinidad, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Carter accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Thomas 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 Thomas Carter affiliated with any hospitals?
According to CMS data, Thomas Carter is affiliated with Northwest Health-La Porte, Northwest Health - Porter, Franciscan Health Crown Point and Franciscan Health Rensselaer, Inc.
When was this NPI record last updated?
The NPPES record for Thomas Carter was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Thomas J Carter, DO, PHD · NPI 1649464439
Family Medicine physician in Wheatfield, Indiana. Individual provider, active in the CMS NPPES registry since September 5, 2007.
## Identity
- **NPI:** 1649464439 (Entity type: Individual)
- **Enumerated:** September 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02008626A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3988 W STATE ROAD 10, Wheatfield, IN 46392-9251
- **Phone:** (219) 987-3581 · **Fax:** (219) 987-7137
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): La Porte Clinic Company LLC (NPI 1568829224, Valparaiso, IN); Porter Physician Services LLC (NPI 1508075680, Valparaiso, IN); Colorado Health And Wellness, Inc. (NPI 1235185547, Colorado Springs, CO); Trinidad Area Health Association (NPI 1548965999, Trinidad, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649464439) · Data from the CMS NPPES public registry.