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SPENCER VAUGHN CARTER MD
NPI 1922591114
Internal Medicine - Cardiovascular Disease in Frisco, TX

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
12950 DALLAS PKWY, FRISCO, TX 75033(469) 495-2540 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Jan 19, 2023, Jan 16, 2019 and 1 more (4 updates tracked since 2018).

About Spencer Vaughn Carter Md NPPES

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

SPENCER VAUGHN CARTER MD (NPI 1922591114) is an individual cardiovascular disease provider in Frisco, Texas, licensed in Texas (T9652) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2018).

NPPES Registry Identity

NPI1922591114
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSPENCER VAUGHN CARTERCredential: MD
Location Address12950 DALLAS PKWYFrisco, TX 75033-4234
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (469) 495-2540
Phone(469) 495-2540
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateJuly 1, 20244 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1922591114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · T9652
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12950 DALLAS PKWY, Frisco, TX 75033
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Other Names 1

Professional Name (2)Spencer Vaughn Carter Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Spencer Vaughn Carter Md 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 ID9133476385
PECOS Enrollment IDI20240625004018
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
66 services65 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
60 services59 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
59 services59 patients
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.
39 services31 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

TWINKLE MYINT M.D.
Internal Medicine
12950 DALLAS PKWY
FRISCO, TX 75033
Denton County (972) 377-8695
SYED MOHAMMED UZAIR ALI MD
Internal Medicine
12950 DALLAS PKWY
FRISCO, TX 75033
Denton County (469) 495-2540
DR. NICHOLAS J WALKER MD
Surgery (Plastic and Reconstructive Surgery)
12950 DALLAS PKWY
FRISCO, TX 75033
Denton County (985) 855-2335

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 Spencer Carter's NPI number?

The NPI number for Spencer Carter is 1922591114. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Spencer Vaughn Carter MD.

Where is Spencer Carter located?

Spencer Carter practices at 12950 Dallas Pkwy, Frisco, TX 75033. The listed phone number is (469) 495-2540.

What is Spencer Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Spencer Carter enrolled in Medicare?

Yes. Spencer 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 Spencer Carter accept?

Health plans from Blue Cross and Blue Shield of Texas list Spencer 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 Spencer Carter affiliated with any hospitals?

According to CMS data, Spencer Carter is affiliated with Parkland Health & Hospital System, Ut Southwestern University Hospital - William P. Clements Jr. and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Spencer Carter was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.