DR. LEE JAMES CARTER O.D.
NPI 1891789368
Optometrist in Mountain Home, ID

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
2745 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647(208) 587-0974(208) 587-0994 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lee James Carter O.d. NPPES

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

DR. LEE JAMES CARTER O.D. (NPI 1891789368) is an individual optometrist in Mountain Home, Idaho, licensed in Idaho (ODP-100084) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2005).

NPPES Registry Identity

NPI1891789368
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LEE JAMES CARTERCredential: O.D.
Location Address2745 AMERICAN LEGION BLVDMountain Home, ID 83647-3185
Mailing Address2745 American Legion BlvdMountain Home, ID 83647-3185 · (208) 587-0974 · Fax (208) 587-0994
Fax(208) 587-0994
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2005
Enumeration DateSeptember 9, 2005
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1891789368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-100084
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2745 AMERICAN LEGION BLVD, Mountain Home, ID 83647

Other Identifiers 3

Medicare UPINV07489ID
Medicare PIN1594515ID
Medicaid807254900ID

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lee James Carter O.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 ID6608896980
PECOS Enrollment IDI20051206000318
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 Lee Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1157 E PUFFIN ST
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
Optometrist
1108 S WASHINGTON AVE
Emmett, ID 83617
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
107 services70 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
91 services88 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
54 services54 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
32 services25 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
27 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.68
Improvement Activities40
Cost91.47

Other Providers at the Same Location NPPES 6

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

Pharmacist
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Pharmacist
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Eyewear Supplier
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Pharmacist
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Pharmacist
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Pharmacy (Community/Retail Pharmacy)
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647

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 Lee Carter's NPI number?

The NPI number for Lee Carter is 1891789368. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Lee Carter located?

Lee Carter practices at 2745 American Legion Blvd, Mountain Home, ID 83647. The listed phone number is (208) 587-0974.

What is Lee Carter's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lee Carter enrolled in Medicare?

Yes. Lee 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.

Which organizations bill Medicare for Lee Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Carter reassigns Medicare benefits to 2 organizations: Carter Vision Care, PLLC (Meridian, ID) and Emmett Eye Center, PLLC (Emmett, ID). 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 Lee Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Carter accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Lee 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 Lee Carter was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.