DR. J. MARKUS CARTER D.O.
NPI 1659379733
Physical Medicine & Rehabilitation in Birmingham, AL

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-6600 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. J. Markus Carter D.o. NPPES

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

DR. J. MARKUS CARTER D.O. (NPI 1659379733) is an individual physical medicine & rehabilitation provider in Birmingham, Alabama, licensed in Alabama (DO284) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1659379733
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. J. MARKUS CARTERCredential: D.O.
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1991
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
NPI 1659379733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in AL · DO284
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 7548 (AL)
619 19TH STREET SOUTH, Birmingham, AL 35233

Other Identifiers 5

Other051005540AL · Blue Cross
Medicaid0117089MS
Medicaid00124833MS
Medicaid009988135AL
Medicaid000005540AL

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. J. Markus 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 ID7719975952
PECOS Enrollment IDI20040505000631
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
170 services19 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.
156 services99 patients
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.
107 services51 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.
78 services78 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
70 services45 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.
37 services34 patients

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.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier68 claims194 services$39.28 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier45 claims45 services$976.07 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.

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

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 J. Carter's NPI number?

The NPI number for J. Carter is 1659379733. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is J. Carter located?

J. Carter practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-6600.

What is J. Carter's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is J. Carter enrolled in Medicare?

Yes. J. 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 J. Carter accept?

Health plans from Blue Cross and Blue Shield of Alabama list J. 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 J. Carter was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.