Michael Carter, M.D.
NPI 1245207919 · Orthopaedic Surgery Physician · Wilmington, NC
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Carter, M.D. is a Orthopaedic Surgery Physician provider in Wilmington, NC (NPI 1245207919).
Provider details
- NPI number
- 1245207919
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 000-32926 (NC)
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
49 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $67 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 13 | $82 |
Typical Medicare-allowed amounts for these services range $67–$99 (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
- 2006-03-02
- Last updated
- 2011-10-18
Frequently asked questions
- What is Michael Carter's NPI number?
- Michael Carter's National Provider Identifier (NPI) is 1245207919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Carter's specialty?
- Michael Carter is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Carter located?
- Michael Carter's practice location on file with NPPES is 5220 Oleander Dr, Wilmington, NC 28403-7021.
- What is Michael Carter's phone number?
- The practice phone number listed in the NPPES registry for Michael Carter is (910) 793-1043.
- Does Michael Carter accept Medicare?
- Michael Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Carter's NPI active?
- Yes — Michael Carter's NPI (1245207919) is active in the NPPES registry as of the last update on 2011-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.