Thomas Carter, MD
NPI 1255316287 · Orthopaedic Surgery Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Carter, MD is a Orthopaedic Surgery Physician provider in Phoenix, AZ (NPI 1255316287).
Provider details
- NPI number
- 1255316287
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18672 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
244 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 46 | $109 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 40 | $69 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $84 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 32 | $80 |
| X-Ray of Knee, 3 Views73562 | 31 | $35 |
| Aspiration And/Or Injection of Fluid From Large Joint |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32,282 across 48 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2013-02-11
Frequently asked questions
- What is Thomas Carter's NPI number?
- Thomas Carter's National Provider Identifier (NPI) is 1255316287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Carter's specialty?
- Thomas Carter is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Carter located?
- Thomas Carter's practice location on file with NPPES is 2222 E Highland Ave, Phoenix, AZ 85016-4872.
- What is Thomas Carter's phone number?
- The practice phone number listed in the NPPES registry for Thomas Carter is (602) 277-6211.
- Does Thomas Carter accept Medicare?
- Thomas Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Carter's NPI active?
- Yes — Thomas Carter's NPI (1255316287) is active in the NPPES registry as of the last update on 2013-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.