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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TONI SHALYN CARTER MD
NPI 1871115071
Psychiatry & Neurology - Psychiatry in Marion, OH

Active since May 11, 2020PECOS Enrolled
990 S PROSPECT ST STE 3, MARION, OH 43302(740) 383-7910(740) 375-8129 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Jul 24, 2026, May 11, 2020 (3 updates tracked since 2020).

About Toni Shalyn Carter Md NPPES

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

TONI SHALYN CARTER MD (NPI 1871115071) is an individual psychiatry provider in Marion, Ohio, licensed in Ohio (35.155584) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871115071
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameTONI SHALYN CARTERCredential: MD
Location Address990 S PROSPECT ST STE 3Marion, OH 43302-6283
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(740) 383-7910
Fax(740) 375-8129
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2020
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1871115071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35.155584
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
990 S PROSPECT ST STE 3, Marion, OH 43302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2860959939
PECOS Enrollment IDI20260807003846
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 Reassignment

Medicare enrollment records show Toni Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marion Area Physicians LLC
2.6 mi
Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group
NPI 1619230802 (740) 383-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 7

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

ROSEMARY LYNN APPELFELLER RN
Nurse Practitioner (Psychiatric/Mental Health)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
DR. SHYAMALA DEEPTI BHEEMISETTY M.D
Psychiatry & Neurology (Psychiatry)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
PAMELA BETH ANN OXLEY APRN; PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
MS. KELLY A MCCAULEY
Social Worker
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
KIMBERLY NEACE
Nurse Practitioner (Psychiatric/Mental Health)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
LALITH K MISRA DO PHD
Psychiatry & Neurology (Psychiatry)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910
MR. DOMINICK S BERG PC
Counselor (Professional)
990 S PROSPECT ST STE 3
MARION, OH 43302
Marion County (740) 383-7910

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 Toni Carter's NPI number?

The NPI number for Toni Carter is 1871115071. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Toni Carter located?

Toni Carter practices at 990 S Prospect St Ste 3, Marion, OH 43302. The listed phone number is (740) 383-7910.

What is Toni Carter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Toni Carter enrolled in Medicare?

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

Which organization bills Medicare for Toni Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Carter reassigns Medicare benefits to Marion Area Physicians LLC (Marion, OH). The 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 Toni Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toni Carter was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.