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MICHAEL W CARTER PA
NPI 1922006212
Physician Assistant in St Paul, KS

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
74.66/100
CMS Quality Rating
200 CARROLL ST, ST PAUL, KS 66771(620) 449-2582(620) 449-2587 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael W Carter Pa NPPES

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

MICHAEL W CARTER PA (NPI 1922006212) is an individual physician assistant in St Paul, Kansas, licensed in Kansas (15-00512) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Labette Health, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922006212
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL W CARTERCredential: PA
Location Address200 CARROLL STSt Paul, KS 66771-4044
Mailing Address200 Carroll StSt Paul, KS 66771-4044 · (620) 449-2582 · Fax (620) 449-2587
Phone(620) 449-2582
Fax(620) 449-2587
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 21, 2011
✔ NPI 1922006212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 15-00512
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 CARROLL ST, St Paul, KS 66771
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Other Identifiers 4

Other42591KS · Bcbs
Medicare ID-Type Unspecified42591
Medicaid100362330BKS
Medicare UPINS28496

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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 and accepts Medicare assignment

Michael W Carter Pa 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 ID6406767805
PECOS Enrollment IDI20040625000577
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.

Hospital Affiliations CMS Care Compare 3

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

Labette Health

Acute Care Hospitals · Parsons, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170120
Location1902 South Us Hwy 59Parsons, KS 67357 · Labette County
Emergency services Birthing friendly

Girard Medical Center

Critical Access Hospitals · Girard, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171376
Location302 North Hospital DriveGirard, KS 66743 · Crawford County
Emergency services

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66771 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

74.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.02
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers37 claims66 services$5.19 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$46.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers16 claims16 services$109.47 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers35 claims50 services$22.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers33 claims33 services$69.23 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers39 claims39 services$23.56 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

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

LABETTE COUNTY MEDICAL CENTER
Clinic/Center (Rural Health)
200 CARROLL ST
ST PAUL, KS 66771
Neosho County (620) 449-2582

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 Michael Carter's NPI number?

The NPI number for Michael Carter is 1922006212. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Michael Carter located?

Michael Carter practices at 200 Carroll St, St Paul, KS 66771. The listed phone number is (620) 449-2582.

What is Michael Carter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Carter enrolled in Medicare?

Yes. Michael 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 Michael Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Michael 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 Michael Carter affiliated with any hospitals?

According to CMS data, Michael Carter is affiliated with Labette Health, Girard Medical Center and Neosho Memorial Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Carter was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.