DR. MATTHEW LOUIS MCCARTER MD
NPI 1790042125
Internal Medicine in Wilmington, DE

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
1600 ROCKLAND RD, WILMINGTON, DE 19803(913) 558-7928 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2018, Jun 27, 2017 (2 updates tracked since 2017).

About Dr. Matthew Louis Mccarter Md NPPES

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

DR. MATTHEW LOUIS MCCARTER MD (NPI 1790042125) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0011792) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1790042125
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW LOUIS MCCARTERCredential: MD
Location Address1600 ROCKLAND RDWilmington, DE 19803
Mailing Address501 W 14th StWilmington, DE 19801-1013 · (302) 320-4411
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
NPI 1790042125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0011792
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.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License C1-0011792 (DE), C7-0005125 (DE)
1600 ROCKLAND RD, Wilmington, DE 19803

Secondary Practice Location 1

Location 11600 Rockland RdWilmington, DE 19803-3607 · Phone (913) 558-7928

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. Matthew Louis Mccarter 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 ID4587896782
PECOS Enrollment IDI20170707000191
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 3

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.
141 services113 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.
79 services68 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.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19803 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

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
4 suppliers13 claims66 services$6.02 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.

Pediatrics (Neonatal-Perinatal Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Obstetrics & Gynecology
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Psychologist (Clinical Child & Adolescent)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Nurse Practitioner
1600 ROCKLAND RD
WILMINGTON, DE 19803

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 Matthew Mccarter's NPI number?

The NPI number for Matthew Mccarter is 1790042125. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Matthew Mccarter located?

Matthew Mccarter practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (913) 558-7928.

What is Matthew Mccarter's specialty?

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

Is Matthew Mccarter enrolled in Medicare?

Yes. Matthew Mccarter 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 Matthew Mccarter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Matthew Mccarter 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 Matthew Mccarter was last updated on August 16, 2018. 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.