Karen Carter, MD
NPI 1255441994 · Pediatric Neurodevelopmental Disabilities Physician · Augusta, GA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Carter, MD is a Pediatric Neurodevelopmental Disabilities Physician provider in Augusta, GA (NPI 1255441994).
Provider details
- NPI number
- 1255441994
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 044184 (GA)
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
19 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
4,627 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) |
|---|---|---|
| Injection, Medroxyprogesterone Acetate, 1 MgJ1050 | 4,205 | $0 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 181 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 112 | $170 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 46 | $13 |
| Skin Test for Tuberculosis86580 | 24 | $9 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 22 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 178 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 1,004 | 114 |
| Risperidone | 581 | 59 |
| Clonidine Hcl | 427 | 46 |
| Quetiapine Fumarate | 342 | 30 |
| Divalproex Sodium | 304 | 33 |
| Doxepin Hcl | 263 | 33 |
| Simvastatin | 248 | 24 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,766 across 94 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
- 2006-08-30
- Last updated
- 2016-01-19
Frequently asked questions
- What is Karen Carter's NPI number?
- Karen Carter's National Provider Identifier (NPI) is 1255441994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Carter's specialty?
- Karen Carter is listed in the NPPES registry with a primary specialty of Pediatric Neurodevelopmental Disabilities Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Carter located?
- Karen Carter's practice location on file with NPPES is 1303 D'Antignac Street, Augusta, GA 30901.
- What is Karen Carter's phone number?
- The practice phone number listed in the NPPES registry for Karen Carter is (706) 396-0600.
- Does Karen Carter accept Medicare?
- Karen Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Carter's NPI active?
- Yes — Karen Carter's NPI (1255441994) is active in the NPPES registry as of the last update on 2016-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.