DR. JOHN CARL CARTER M.D.
NPI 1659660801
Internal Medicine - Pulmonary Disease in Cleveland, OH

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 5, 2017, Jun 28, 2017 (3 updates tracked since 2017).

About Dr. John Carl Carter M.d. NPPES

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

DR. JOHN CARL CARTER M.D. (NPI 1659660801) is an individual pulmonary disease provider in Cleveland, Ohio, licensed in Ohio (35131869) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Stanford University School Of Medicine (2011).

NPPES Registry Identity

NPI1659660801
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOHN CARL CARTERCredential: M.D.
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-7800
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2011
Enumeration DateMarch 28, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1659660801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35131869
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2500 METROHEALTH DR, Cleveland, OH 44109

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. John Carl 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 ID3476844432
PECOS Enrollment IDI20170807003750
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 6

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 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.
65 services51 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services22 patients
Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming 95977
This procedure involves using electronic systems to evaluate and adjust an implanted neurostimulator generator. This device aids in controlling nerve activity in the brain, helping manage conditions like epilepsy or chronic pain. It's a non-invasive process that ensures optimal device performance.
25 services16 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
24 services24 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
19 services18 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423
This service involves a week-long digital assessment and management program for existing patients. It includes continuous health monitoring, virtual consultations, and personalized treatment plans. The total time spent is 21 minutes or more, ensuring comprehensive care.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers50 claims50 services$29.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers65 claims65 services$66.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers50 claims123 services$24.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers35 claims147 services$14.46 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers72 claims72 services$46.79 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers74 claims74 services$13.92 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.

Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109

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 John Carter's NPI number?

The NPI number for John Carter is 1659660801. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is John Carter located?

John Carter practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is John Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Carter enrolled in Medicare?

Yes. John 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 John Carter accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list John 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 John Carter affiliated with any hospitals?

According to CMS data, John Carter is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for John Carter was last updated on July 21, 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.