DR. LAWRENCE D CARTER MD
NPI 1720058548
Internal Medicine in Great Neck, NY

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
865 NORTHERN BLVD, GREAT NECK, NY 11021(516) 622-5000(516) 622-5005 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence D Carter Md NPPES

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

DR. LAWRENCE D CARTER MD (NPI 1720058548) is an individual internal medicine provider in Great Neck, New York, licensed in New York (188137) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1720058548
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAWRENCE D CARTERCredential: MD
Location Address865 NORTHERN BLVDGreat Neck, NY 11021-5310
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-5539
Fax(516) 622-5005
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 3, 2012
NPI 1720058548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 188137
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.
865 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 3

Medicare UPINF59129NY
Medicaid01429607NY
Medicare ID-Type Unspecified95K431NY

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. Lawrence D 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 ID3870673817
PECOS Enrollment IDI20080103000534
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 4

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.
158 services108 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.
70 services64 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.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services52 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers11 claims30 services$3.75 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.

Obstetrics & Gynecology
865 NORTHERN BLVD, SUITE 202
GREAT NECK, NY 11021
Nurse Practitioner (Women's Health)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
865 NORTHERN BLVD, 203
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
865 NORTHERN BLVD
GREAT NECK, NY 11021

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 Lawrence Carter's NPI number?

The NPI number for Lawrence Carter is 1720058548. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Lawrence Carter located?

Lawrence Carter practices at 865 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 622-5000.

What is Lawrence Carter's specialty?

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

Is Lawrence Carter enrolled in Medicare?

Yes. Lawrence 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.

Is Lawrence Carter affiliated with any hospitals?

According to CMS data, Lawrence Carter is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Carter was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.