Merle Carter, MD
NPI 1073572319 · Emergency Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Merle Carter, MD is a Emergency Medicine Physician provider in Philadelphia, PA (NPI 1073572319).
Provider details
- NPI number
- 1073572319
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD419113 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
292 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 132 | $186 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 92 | $9 |
| Critical Care, First 30-74 Minutes99291 | 35 | $225 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 33 | $128 |
Typical Medicare-allowed amounts for these services range $9–$225 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2011-09-30
Frequently asked questions
- What is Merle Carter's NPI number?
- Merle Carter's National Provider Identifier (NPI) is 1073572319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Merle Carter's specialty?
- Merle Carter is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Merle Carter located?
- Merle Carter's practice location on file with NPPES is 5501 Old York Rd, Philadelphia, PA 19141-3091.
- What is Merle Carter's phone number?
- The practice phone number listed in the NPPES registry for Merle Carter is (215) 456-6679.
- Does Merle Carter accept Medicare?
- Merle Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Merle Carter's NPI active?
- Yes — Merle Carter's NPI (1073572319) is active in the NPPES registry as of the last update on 2011-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.