MARK M CARTER M.D.
NPI 1932128337
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
77.15/100
CMS Quality Rating
4521 SHILOH MILL BLVD, JACKSONVILLE, FL 32246(904) 699-4337 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark M Carter M.d. NPPES

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

MARK M CARTER M.D. (NPI 1932128337) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME47719) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1982).

NPPES Registry Identity

NPI1932128337
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK M CARTERCredential: M.D.
Location Address4521 SHILOH MILL BLVDJacksonville, FL 32246-1880
Mailing Address4521 Shiloh Mill BlvdJacksonville, FL 32246 · (904) 699-4337
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1982
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 27, 2014
✔ NPI 1932128337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME47719✔ Licensed in PA · MD421030
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4521 SHILOH MILL BLVD, Jacksonville, FL 32246

Other Identifiers 6

Medicare UPIND61756PA
Medicare PIN14189XFL
Medicare UPIN14189YFL
Medicaid061625700FL
Medicare UPIN14189XFL
Medicare ID-Type Unspecified072800KAOPA

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

Mark M Carter M.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 ID4688638539
PECOS Enrollment IDI20071204000118
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 Mark Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 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 19

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
39,587 services509 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
3,278 services423 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
959 services901 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
476 services450 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
470 services464 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
283 services252 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

77.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.95
Promoting Interoperability96
Improvement Activities40
Cost61.22

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 Mark Carter's NPI number?

The NPI number for Mark Carter is 1932128337. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Carter located?

Mark Carter practices at 4521 Shiloh Mill Blvd, Jacksonville, FL 32246. The listed phone number is (904) 699-4337.

What is Mark Carter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Carter enrolled in Medicare?

Yes. Mark 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 organization bills Medicare for Mark Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Carter reassigns Medicare benefits to Borland Groover Clinic, PA (Jacksonville, FL). 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 Mark 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 Mark Carter was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.