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KEITH D CARTER MD
NPI 1942201082
Ophthalmology in Iowa City, IA

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-7997(319) 356-0363 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith D Carter Md NPPES

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

KEITH D CARTER MD (NPI 1942201082) is an individual ophthalmology provider in Iowa City, Iowa, licensed in Iowa (26163) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and is a graduate of Indiana University School Of Medicine (1983).

NPPES Registry Identity

NPI1942201082
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEITH D CARTERCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-7997 · Fax (319) 356-0363
Phone(319) 356-7997
Fax(319) 356-0363
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1983
Enumeration DateAugust 10, 2005
Last NPPES UpdateNovember 28, 2007
✔ NPI 1942201082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IA · 26163
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
200 HAWKINS DR, Iowa City, IA 52242
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Other Identifiers 4

Medicare PIN25056IA
Other25056IA · Wellmark Bcbs
Medicare UPINA03397
Medicaid0250563IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Keith D 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 ID1759484603
PECOS Enrollment IDI20100222000204
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 16

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.

Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
61 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services41 patients
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.
41 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services35 patients

Hospital Affiliations CMS Care Compare

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Prosthetic eye, plastic, custom V2623
DME-Orthotic Devices · category DF000N
3 suppliers12 claims12 services$773.98 avg. paid by Medicare
Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers110 claims111 services$45.86 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 20

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

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Keith Carter's NPI number?

The NPI number for Keith Carter is 1942201082. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Keith Carter located?

Keith Carter practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-7997.

What is Keith Carter's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Keith Carter enrolled in Medicare?

Yes. Keith 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 Keith Carter accept?

Health plans from Medica and Sanford Health Plan list Keith 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 Keith Carter affiliated with any hospitals?

According to CMS data, Keith Carter is affiliated with University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Keith Carter was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.