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DR. JEFFREY DAVID CARTER M.D.
NPI 1992765754
Orthopaedic Surgery in Monterey, CA

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
21 UPPER RAGSDALE DR, SUITE 100, MONTEREY, CA 93940(831) 648-8020(831) 648-8023 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey David Carter M.d. NPPES

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

DR. JEFFREY DAVID CARTER M.D. (NPI 1992765754) is an individual orthopaedic surgery provider in Monterey, California, licensed in California (G52564) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1983).

NPPES Registry Identity

NPI1992765754
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JEFFREY DAVID CARTERCredential: M.D.
Location Address21 UPPER RAGSDALE DR, SUITE 100Monterey, CA 93940-7829
Mailing Address21 Upper Ragsdale Dr, Suite 100Monterey, CA 93940-7829 · (831) 648-8020 · Fax (831) 648-8023
Phone(831) 648-8020
Fax(831) 648-8023
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1983
Enumeration DateMarch 24, 2006
Last NPPES UpdateMarch 7, 2011
✔ NPI 1992765754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G52564
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
21 UPPER RAGSDALE DR, Monterey, CA 93940
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Other Identifiers 2

Medicare ID-Type Unspecified00G525640CA
Medicare UPINB74906CA

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

Dr. Jeffrey David Carter M.d. 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 ID9830091750
PECOS Enrollment IDI20040122000246
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
301 services107 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
187 services57 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
170 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 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.
20 services20 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%248 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
33%229 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%529 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
86%984 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%42 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
84%540 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%393 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
26%337 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%943 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
6%296 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 44 patients
Patients tobacco: 100% · 438 patients
98%438 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%393 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
100%393 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%393 patients
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.

Other Providers at the Same Location NPPES 15

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

MIMIE PAK SHIN M.P.T.
Physical Therapist
21 UPPER RAGSDALE DR, SUITE #125
MONTEREY, CA 93940
Monterey County (831) 372-2963
RIPPLE PHYSICAL THERAPY
Physical Therapist (Orthopedic)
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 372-3579
BROOKE JAUNAL
Physical Therapist
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 264-6040
PHILIP PENROSE M.D.
Ophthalmology
21 UPPER RAGSDALE DR, #200
MONTEREY, CA 93940
Monterey County (831) 372-1500
MONTEREY EYE LLC
Eyewear Supplier
21 UPPER RAGSDALE DR, 200
MONTEREY, CA 93940
Monterey County (831) 372-1500
DR. DAVID D SHIN DDS
Dentist (General Practice)
21 UPPER RAGSDALE DR, SUITE 170
MONTEREY, CA 93940
Monterey County (831) 375-2600
JEFFREY D CARTER MD INC
Orthopaedic Surgery (Sports Medicine)
21 UPPER RAGSDALE DR, SUITE 100
MONTEREY, CA 93940
Monterey County (831) 648-8020
RAFAEL GAMALIEL MAGALLON PT, DPT
Physical Therapist (Orthopedic)
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 264-6040

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 Jeffrey Carter's NPI number?

The NPI number for Jeffrey Carter is 1992765754. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jeffrey Carter located?

Jeffrey Carter practices at 21 Upper Ragsdale Dr Suite 100, Monterey, CA 93940. The listed phone number is (831) 648-8020.

What is Jeffrey Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Carter enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Carter was last updated on March 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.