What is Thomas Carter's specialty?

Thomas Carter (NPI 1255316287) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Phoenix, AZ.

Where does Thomas Carter practice?

Thomas Carter practices in Phoenix, AZ, based on the location reported in the CMS Medicare provider datasets for NPI 1255316287.

How much does Medicare pay Thomas Carter?

Thomas Carter (NPI 1255316287) received approximately $21K in total Medicare Part B payments, serving 121 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1255316287

Thomas CarterMD

PRACTICETOCA AT BANNER HEALTH LLCSee all providers at this practice →

Orthopedic SurgeryPhoenix, AZI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

216

Unique beneficiaries

—

Total services

368

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 454 Orthopedic Surgery providers in AZ — bottom quintile (cohort median 1,274).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

82.8

Quality

69.8

Cost

68.2

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.33%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$32K

Payment records

By payment type

Royalty or License$19K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8K

Travel and Lodging$2K

Food and Beverage$2K

Consulting Fee$650

Top paying entities

Royalty or License$19K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8K

Travel and Lodging$2K

Food and Beverage$2K

Consulting Fee$650

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 030002

Hospital

REFERRAL NETWORK

Where Thomas Carter's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 0 inbound referrers · 2 outbound destinations.

Receives referrals from

Inbound — who sends patients here

No inbound pairs above the suppression threshold.

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Sonora Quest Laboratories Llc Clinical Laboratory · Phoenix, AZ	24	72
St. Joseph's Outpatient Surgery Center, Llc Ambulatory Surgical Center · Phoenix, AZ	18	35

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events