EDWARD P CARTER MD
NPI 1952413932
Radiology - Diagnostic Radiology in St. David, PA
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
Specialties & Licenses
Other Identifiers 2
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.
Medicare Billing Reassignments
2Medicare 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.
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
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.
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, PAPhoenixville Hospital
Acute Care Hospitals · Phoenixville, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPhysician 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.
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.
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.
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.