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LARRY WAYNE CARTER MD
NPI 1811933997
Orthopaedic Surgery in Augusta, GA

Active since June 20, 2006PECOS Enrolled
86.77/100
CMS Quality Rating
811 13TH ST, STE 20, AUGUSTA, GA 30901(706) 722-3401(706) 724-6540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Wayne Carter Md NPPES

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

LARRY WAYNE CARTER MD (NPI 1811933997) is an individual orthopaedic surgery provider in Augusta, Georgia, licensed in Georgia (036511) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811933997
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLARRY WAYNE CARTERCredential: MD
Location Address811 13TH ST, STE 20Augusta, GA 30901
Mailing Address811 13th St, Ste 20Augusta, GA 30901 · (706) 722-3401 · Fax (706) 724-6540
Phone(706) 722-3401
Fax(706) 724-6540
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811933997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 036511
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
811 13TH ST, Augusta, GA 30901
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Other Identifiers 2

Medicare ID-Type Unspecified20BDCFN
Medicare UPINF79285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Wayne Carter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.
204 services163 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
182 services126 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.
154 services119 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
146 services110 patients
Injection, methylprednisolone sodium succinate, up to 40 mg J2920
Methylprednisolone sodium succinate is a corticosteroid medication, administered via injection. It helps reduce inflammation and immune responses. It's often used to treat conditions like arthritis, allergies, or skin diseases. The dosage is up to 40 mg.
79 services61 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
51 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

86.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
51%550 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%158 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,635 patients4/55-star benchmark: 100%
e-Prescribing
99%773 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%875 patients2/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%30 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%1,478 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,175 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 896 patients
Patients screened: 98% · 896 patients
100%62 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%926 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%61 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 923 patients
Patients totalRate: 2% · 923 patients
2%923 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers22 claims22 services$42.32 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.

VAIRAGI CHOKSY
Physician Assistant (Medical)
811 13TH ST, SUITE 10
AUGUSTA, GA 30901
Richmond County (706) 434-1590
AUGUSTA ARTHRITIS CENTER INC
Specialist
811 13TH ST, SUITE 14
AUGUSTA, GA 30901
Richmond County (702) 828-0043
THOMAS ALAN PARFENCHUCK MD
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
JUDAH CHARLES JOHNSON P.A.
Physician Assistant
811 13TH ST, SUITE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
KEVIN J OSHEA MD
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
PAUL JAMES HERZWURM MD
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
PATRICK R GAMBLIN P.A.
Physician Assistant
811 13TH ST, SUITE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401

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 Larry Carter's NPI number?

The NPI number for Larry Carter is 1811933997. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Larry Carter located?

Larry Carter practices at 811 13th St Ste 20, Augusta, GA 30901. The listed phone number is (706) 722-3401.

What is Larry Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Larry Carter enrolled in Medicare?

Yes. Larry Carter is registered in the Medicare PECOS enrollment system.

What insurance does Larry Carter accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Larry 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.

When was this NPI record last updated?

The NPPES record for Larry Carter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.