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SCOTT CARTER
NPI 1730279779
Physician Assistant in Stony Brook, NY

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
HSC T 12 RM 080, SUITE 100, STONY BROOK, NY 11794(631) 444-8070(631) 444-1535 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Carter NPPES

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

SCOTT CARTER (NPI 1730279779) is an individual physician assistant in Stony Brook, New York, licensed in New York (004119) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1990).

NPPES Registry Identity

NPI1730279779
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT CARTER
Location AddressHSC T 12 RM 080, SUITE 100Stony Brook, NY 11794-8122
Mailing AddressHsc T 12 Rm 080, Suite 100Stony Brook, NY 11794-8122 · (631) 444-8070 · Fax (631) 444-1535
Phone(631) 444-8070
Fax(631) 444-1535
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1990
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1730279779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004119
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
HSC T 12 RM 080, Stony Brook, NY 11794
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedOF2591NY
Medicare UPINS73909NY

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

Scott Carter 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 ID2769373307
PECOS Enrollment IDI20040323000581
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

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.

Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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 Scott Carter's NPI number?

The NPI number for Scott Carter is 1730279779. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Scott Carter located?

Scott Carter practices at Hsc T 12 Rm 080 Suite 100, Stony Brook, NY 11794. The listed phone number is (631) 444-8070.

What is Scott Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Carter enrolled in Medicare?

Yes. Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Carter was last updated on January 14, 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.