TERA CARMAN LCSW
NPI 1932657699
Social Worker - Clinical in Milwaukee, WI

Active since September 12, 2016PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226(414) 955-8952 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2016, Sep 12, 2016 (2 updates tracked since 2016).

About Tera Carman Lcsw NPPES

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

TERA CARMAN LCSW (NPI 1932657699) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (8537-123) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2004).

NPPES Registry Identity

NPI1932657699
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERA CARMANCredential: LCSW
Location Address1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRYMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair Rd, Department Of PsychiatryMilwaukee, WI 53226-3462 · (414) 955-8952
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004
Enumeration DateSeptember 12, 2016
Last NPPES UpdateDecember 16, 20162 updates tracked since enumeration
NPI 1932657699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 8537-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1155 N MAYFAIR RD, Milwaukee, WI 53226

Accepted 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

Tera Carman Lcsw 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 ID5991087967
PECOS Enrollment IDI20170127000020
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 20

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

Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226

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 Tera Carman's NPI number?

The NPI number for Tera Carman is 1932657699. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Tera Carman located?

Tera Carman practices at 1155 N Mayfair Rd Department Of Psychiatry, Milwaukee, WI 53226. The listed phone number is (414) 955-8952.

What is Tera Carman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tera Carman enrolled in Medicare?

Yes. Tera Carman 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 Tera Carman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica, Network Health and UnitedHealthcare list Tera Carman 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 Tera Carman was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.