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KRYSTINE DIANE CARTER M.D.
NPI 1831499706
Psychiatry & Neurology - Child & Adolescent Psychiatry in Philadelphia, PA

Active since October 26, 2010PECOS Enrolled
94.34/100
CMS Quality Rating
265 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 203-5400 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krystine Diane Carter M.d. NPPES

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

KRYSTINE DIANE CARTER M.D. (NPI 1831499706) is an individual child & adolescent psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD455089) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831499706
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKRYSTINE DIANE CARTERCredential: M.D.
Location Address265 E LEHIGH AVEPhiladelphia, PA 19125-1013
Mailing Address265 E Lehigh AvePhiladelphia, PA 19125-1013 · (215) 203-5400
Phone(215) 203-5400
Sole ProprietorNo
Enumeration DateOctober 26, 2010
Last NPPES UpdateMarch 31, 2016
✔ NPI 1831499706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD455089
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MT198021 (PA)
265 E LEHIGH AVE, Philadelphia, PA 19125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystine Diane Carter M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Krystine Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comhar, Inc
0.2 mi
Community/Behavioral Health
100 W LEHIGH AVE
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Co Mhar Inc
  • 38 clinicians in this Medicare group
NPI 1013043702 (215) 203-3000
Creative Health Services Inc
17 mi
Psychiatry
FIFTH STREET AND MONTGOMER, BOYERTOWN PROFESSIONAL CENTER
Boyertown, PA 19512
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 clinicians in this Medicare group
NPI 1508933656 (610) 369-7271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

94.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERAKEY CHILDRENS SERVICES
Case Management
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 836-3131
DR. MOHAMMAD LAWANGEEN KHAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 427-1500
MERAKEY CHILDRENS SERVICES
Community/Behavioral Health
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 836-3131
MS. SUZETTE HUNT M.ED
Psychologist
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 203-5400
MERAKEY CHILDRENS SERVICES
Community/Behavioral Health
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 836-3131
MERAKEY CHILDRENS SERVICES
Community/Behavioral Health
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 836-3131
MERAKEY CHILDRENS SERVICES
Community/Behavioral Health
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 836-3131
DR. LOUISA N. OBIESIE PH.D., NCC, LPC
Counselor (Professional)
265 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 203-5400

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 Krystine Carter's NPI number?

The NPI number for Krystine Carter is 1831499706. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is Krystine Carter located?

Krystine Carter practices at 265 E Lehigh Ave, Philadelphia, PA 19125. The listed phone number is (215) 203-5400.

What is Krystine Carter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Krystine Carter enrolled in Medicare?

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

Which organizations bill Medicare for Krystine Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystine Carter reassigns Medicare benefits to 2 organizations: Comhar, Inc (Philadelphia, PA) and Creative Health Services Inc (Boyertown, PA). Each 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 Krystine Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystine Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Krystine 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 Krystine Carter was last updated on March 31, 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.