EMILY LIVIA CARTER M.D.
NPI 1790122927
Family Medicine - Geriatric Medicine in Portland, ME

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
66 BRAMHALL ST, PORTLAND, ME 04102(207) 662-3157(207) 662-6434 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, May 17, 2017 (2 updates tracked since 2017).

About Emily Livia Carter M.d. NPPES

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

EMILY LIVIA CARTER M.D. (NPI 1790122927) is an individual geriatric medicine provider in Portland, Maine, licensed in Maine (MD21532) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Massachusetts Medical School (2013).

NPPES Registry Identity

NPI1790122927
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameEMILY LIVIA CARTERCredential: M.D.
Location Address66 BRAMHALL STPortland, ME 04102-3344
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562
Fax(207) 662-6434
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2013
Enumeration DateMay 29, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1790122927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in ME · MD21532
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
66 BRAMHALL ST, Portland, ME 04102

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

Emily Livia 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 ID6002058211
PECOS Enrollment IDI20170829001119
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 5

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
119 services117 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.
98 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Occupational Therapist
66 BRAMHALL ST
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
66 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine (Geriatric Medicine)
66 BRAMHALL ST
PORTLAND, ME 04102
Social Worker (Clinical)
66 BRAMHALL ST
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
66 BRAMHALL ST
PORTLAND, ME 04102
Registered Nurse
66 BRAMHALL ST
PORTLAND, ME 04102
Social Worker (Clinical)
66 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine (Geriatric Medicine)
66 BRAMHALL ST
PORTLAND, ME 04102

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 Emily Carter's NPI number?

The NPI number for Emily Carter is 1790122927. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Emily Carter located?

Emily Carter practices at 66 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-3157.

What is Emily Carter's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Emily Carter enrolled in Medicare?

Yes. Emily 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 Emily Carter accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Emily 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 Emily Carter affiliated with any hospitals?

According to CMS data, Emily Carter is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Emily 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.