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DR. NATHAN HILL CARTER M.D.
NPI 1649513763
Internal Medicine in Mobile, AL

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
2451 FILLINGIM ST, RES BOX 7TH FLOOR, MOBILE, AL 36617(251) 471-7207 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Hill Carter M.d. NPPES

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

DR. NATHAN HILL CARTER M.D. (NPI 1649513763) is an individual internal medicine provider in Mobile, Alabama, licensed in Arkansas (MD.33897) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2013).

NPPES Registry Identity

NPI1649513763
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NATHAN HILL CARTERCredential: M.D.
Location Address2451 FILLINGIM ST, RES BOX 7TH FLOORMobile, AL 36617-2238
Mailing Address2451 Fillingim St, Res Box 7th FloorMobile, AL 36617-2238 · (251) 471-7207
Phone(251) 471-7207
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateApril 21, 2016
✔ NPI 1649513763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · MD.33897
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2451 FILLINGIM ST, Mobile, AL 36617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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. Nathan Hill 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 ID7012149198
PECOS Enrollment IDI20150728005082
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 8

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
346 services155 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
205 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
177 services151 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
120 services115 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.
50 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%299 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers45 claims46 services$116.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims35 services$37.11 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 20

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

DR. ANTHONY DEVAN HOLLMAN M.D.
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7117
DR. EMILY SMITH GREZAFFI M.D.
Pediatrics
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7000
SHARON FRUH CRNP
Nurse Practitioner (Family)
2451 FILLINGIM ST, 3RD FLOOR
MOBILE, AL 36617
Mobile County (251) 471-7944
FREDERICK M. SILVER MD
Otolaryngology (Plastic Surgery within the Head & Neck)
2451 FILLINGIM ST, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
JOHN ADAM SELF CRNA
Nurse Anesthetist, Certified Registered
2451 FILLINGIM ST, ROOM 335
MOBILE, AL 36617
Mobile County (251) 471-7045
JOHN P. BRANNAN JR. MD
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7150
BASSAM A. OMAR MD
Internal Medicine (Cardiovascular Disease)
2451 FILLINGIM ST, BLDG. C
MOBILE, AL 36617
Mobile County (251) 445-8242
PAUL RICHARD BILLEAUD
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST, MASTIN 315
MOBILE, AL 36617
Mobile County (251) 471-7866

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 Nathan Carter's NPI number?

The NPI number for Nathan Carter is 1649513763. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Nathan Carter located?

Nathan Carter practices at 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617. The listed phone number is (251) 471-7207.

What is Nathan Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Carter enrolled in Medicare?

Yes. Nathan 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 Nathan Carter accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Nathan 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.

When was this NPI record last updated?

The NPPES record for Nathan Carter was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.