Valerie Carter, M.D.
NPI 1255780383 · Internal Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valerie Carter, M.D. is a Internal Medicine Physician provider in Milwaukee, WI (NPI 1255780383).
Provider details
- NPI number
- 1255780383
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 71663 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 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
521 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 170 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 131 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 68 | $175 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 59 | $113 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 58 | $130 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 22 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Amlodipine Besylate | 16 |
| Metoprolol Succinate | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Frequently asked questions
- What is Valerie Carter's NPI number?
- Valerie Carter's National Provider Identifier (NPI) is 1255780383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valerie Carter's specialty?
- Valerie Carter is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Valerie Carter located?
- Valerie Carter's practice location on file with NPPES is 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522.
- What is Valerie Carter's phone number?
- The practice phone number listed in the NPPES registry for Valerie Carter is (414) 805-0812.
- Does Valerie Carter accept Medicare?
- Valerie Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valerie Carter's NPI active?
- Yes — Valerie Carter's NPI (1255780383) is active in the NPPES registry as of the last update on 2024-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.