EDWARD P CARTER MD
NPI 1952413932
Radiology - Diagnostic Radiology in St. David, PA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
250 KING OF PRUSSIA ROAD, ST. DAVID, PA 19087(610) 902-1800(610) 902-1804 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward P Carter Md NPPES

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

EDWARD P CARTER MD (NPI 1952413932) is an individual diagnostic radiology provider in St. David, Pennsylvania, licensed in Pennsylvania (MD058065) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Pittsburgh School Of Medicine (1989).

NPPES Registry Identity

NPI1952413932
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWARD P CARTERCredential: MD
Location Address250 KING OF PRUSSIA ROADSt. David, PA 19087-5220
Mailing Address3400 Spruce St.Philadelphia, PA 19104-4206 · (215) 662-3005 · Fax (215) 662-7011
Fax(610) 902-1804
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 18, 2012
✔ NPI 1952413932 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 PA · MD058065✔ Licensed in NJ · 25MA06220700
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
250 KING OF PRUSSIA ROAD, St. David, PA 19087

Other Identifiers 2

Medicare UPINF88938
Medicare PIN108007PA

Accepted Insurance

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

Edward P 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 ID840192068
PECOS Enrollment IDI20040127000163, I20070323000396
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 Reassignments

2

Medicare enrollment records show Edward Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Internal Medicine
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1508019241 (New Jersey)
  • 793 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 36

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.

Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
321 services315 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
121 services121 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
113 services113 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
109 services104 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
106 services104 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
103 services103 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19087 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Family Medicine
250 KING OF PRUSSIA ROAD, SUITE 2 J
RADNOR, PA 19087
Obstetrics & Gynecology
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087
Internal Medicine
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087
Internal Medicine (Endocrinology, Diabetes & Metabolism)
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087
Family Medicine
250 KING OF PRUSSIA ROAD, SUITE 2 J
RADNOR, PA 19087
Internal Medicine
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087
Dermatology
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087
Internal Medicine (Rheumatology)
250 KING OF PRUSSIA ROAD
RADNOR, PA 19087

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 Edward Carter's NPI number?

The NPI number for Edward Carter is 1952413932. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Edward Carter located?

Edward Carter practices at 250 King Of Prussia Road, St. David, PA 19087. The listed phone number is (610) 902-1800.

What is Edward Carter's specialty?

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

Is Edward Carter enrolled in Medicare?

Yes. Edward 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 organizations bill Medicare for Edward Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Carter reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Berwyn, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). Each 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 Edward Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Carter accept?

Health plans from Oscar Health list Edward 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 Edward Carter affiliated with any hospitals?

According to CMS data, Edward Carter is affiliated with Hospital Of Univ Of Pennsylvania, Phoenixville Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Edward Carter was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.