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TIMOTHY CARTER M.D.
NPI 1720304074
Surgery in West Islip, NY

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
1111 MONTAUK HWY STE 3-3, WEST ISLIP, NY 11795(631) 376-6185 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Carter M.d. NPPES

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

TIMOTHY CARTER M.D. (NPI 1720304074) is an individual surgery provider in West Islip, New York, licensed in New York (288008) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1720304074
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY CARTERCredential: M.D.
Location Address1111 MONTAUK HWY STE 3-3West Islip, NY 11795-4910
Mailing Address3400 Spruce St, Department Of SurgeryPhiladelphia, PA 19104-4238 · (215) 776-7273
Phone(631) 376-6185
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 12, 2010
Last NPPES UpdateAugust 8, 2019
✔ NPI 1720304074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 288008
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1111 MONTAUK HWY STE 3-3, West Islip, NY 11795
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Secondary Practice Location 1

Location 13400 Spruce St, Department of SurgeryPhiladelphia, PA 19104-4238 · Phone (215) 776-7273

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

Timothy 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 ID2466737572
PECOS Enrollment IDI20170331001106
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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chs Physician Partners, PC
8.7 mi
Cardiovascular Disease
206 FALLWOOD PKWY
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group
NPI 1750626974 (516) 249-1020

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 11

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.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
53 services51 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
32 services32 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
31 services31 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.
31 services31 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.
19 services19 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Timothy Carter's NPI number?

The NPI number for Timothy Carter is 1720304074. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Timothy Carter located?

Timothy Carter practices at 1111 Montauk Hwy Ste 3-3, West Islip, NY 11795. The listed phone number is (631) 376-6185.

What is Timothy Carter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Carter enrolled in Medicare?

Yes. Timothy 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 organization bills Medicare for Timothy Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carter reassigns Medicare benefits to Chs Physician Partners, PC (Farmingdale, NY). The 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 Timothy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Carter affiliated with any hospitals?

According to CMS data, Timothy Carter is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Carter was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.