ANTHONY THOMAS CARTER MD
NPI 1982673380
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Newport News, VA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
66.12/100
CMS Quality Rating
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606(757) 873-1554(757) 873-3239 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Jun 11, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Anthony Thomas Carter Md NPPES

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

ANTHONY THOMAS CARTER MD (NPI 1982673380) is an individual adult reconstructive orthopaedic surgery provider in Newport News, Virginia, licensed in Virginia (0101051812) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1982673380
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameANTHONY THOMAS CARTERCredential: MD
Location Address730 THIMBLE SHOALS BLVD, SUITE 130Newport News, VA 23606-4562
Mailing Address730 Thimble Shoals Blvd, Suite 130Newport News, VA 23606-4562 · (757) 873-1554 · Fax (757) 873-3239
Fax(757) 873-3239
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1982673380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in VA · 0101051812
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101051812 (VA)
730 THIMBLE SHOALS BLVD, Newport News, VA 23606

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

Anthony Thomas 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 ID8123093010
PECOS Enrollment IDI20080218000639
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 27

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,548 services242 patients
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
2,100 services41 patients
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332
Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.
1,461 services28 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.
468 services383 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
381 services125 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
344 services271 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

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.

66.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.9
Promoting Interoperability83
Improvement Activities40
Cost35.34

Reported Quality Measures

Documentation of Current Medications in the Medical Record
66%1,700 patients3/55-star benchmark: 100%
e-Prescribing
99%317 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%976 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,551 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,560 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 644 patients
Patients screened: 88% · 644 patients
79%33 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
72%468 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,033 patients
Patients totalRate: 0% · 1,033 patients
0%1,033 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
2 suppliers21 claims21 services$59.49 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers79 claims1,596 services$21.95 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.

Physician Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Orthopaedic Surgery
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Physical Therapy Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Physical Therapist
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Family Medicine
730 THIMBLE SHOALS BLVD, SUITE 110
NEWPORT NEWS, VA 23606
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Physical Therapy Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Physician Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606

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 Anthony Carter's NPI number?

The NPI number for Anthony Carter is 1982673380. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Anthony Carter located?

Anthony Carter practices at 730 Thimble Shoals Blvd Suite 130, Newport News, VA 23606. The listed phone number is (757) 873-1554.

What is Anthony Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Anthony Carter enrolled in Medicare?

Yes. Anthony 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.

Is Anthony Carter affiliated with any hospitals?

According to CMS data, Anthony Carter is affiliated with Mary Immaculate Hospital, Sentara Obici Hospital, Riverside Regional Medical Center and Sentara Williamsburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Carter was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.