Active NPI 1255316287 Individual Practitioner Male Practitioner

Dr. Thomas R Carter , MD

Orthopaedic Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Carter, MD is a certified Orthopaedic Surgery practicing in Phoenix, AZ. With approximately 43 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1983, Dr. Carter delivers high-quality medical care to the local community at 2222 E HIGHLAND AVE.

Dr. Carter is affiliated with Banner - University Physician Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2222 E Highland Ave
Ste 300

Phoenix, AZ 850164872

Telephone 6022776211

Fax 8662425309

Associated Practice Facility / Clinic

🏢 Institute For Bone & Joint Disorders Pc Facility NPI 1578560900

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +18.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

144 Specialists

Practicing in Phoenix, AZ (501 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (43 Years) 43 Yrs

Phoenix Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	15	$2.52	$0.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$272.50	$108.93
20610 Aspiration and/or injection of fluid from large joint	40	25	$168.00	$68.64
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$216.05	$83.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$135.00	$79.62
73562 X-ray of knee, 3 views	31	29	$89.52	$34.76
20610 Aspiration and/or injection of fluid from large joint	23	12	$90.22	$55.59
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$79.71	$62.74
29881 Removal of knee cartilage using an endoscope	11	11	$1408.00	$532.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$135.00	$80.98
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$54.00	$52.72
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$171.00	$87.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$252.00	$107.96
20610 Aspiration and/or injection of fluid from large joint	20	16	$88.40	$50.62
73562 X-ray of knee, 3 views	18	16	$84.72	$34.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$54.00	$53.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$135.00	$81.83
20610 Aspiration and/or injection of fluid from large joint	38	24	$88.00	$51.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$135.00	$82.55
20610 Aspiration and/or injection of fluid from large joint	55	24	$88.75	$52.41
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$54.00	$54.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$266.00	$134.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	12	$14.00	$7.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$135.00	$75.80
20610 Aspiration and/or injection of fluid from large joint	23	15	$88.57	$53.52
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$224.00	$74.34
20610 Aspiration and/or injection of fluid from large joint	19	13	$207.74	$67.80
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$212.71	$69.58
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$54.00	$51.40
73562 X-ray of knee, 3 views	14	12	$105.00	$37.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	89	25	$14.00	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	77	58	$218.00	$72.01
20610 Aspiration and/or injection of fluid from large joint	56	31	$207.82	$65.51
73562 X-ray of knee, 3 views	47	41	$105.68	$36.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$322.00	$103.77
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$224.00	$74.72
73560 X-ray of knee, 1-2 views	27	25	$92.00	$28.48
73030 X-ray of shoulder, minimum of 2 views	17	15	$87.00	$29.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$131.00	$41.33
73020 X-ray of shoulder, 1 view	12	11	$68.00	$23.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	251	58	$31.17	$7.14
20610 Aspiration and/or injection of fluid from large joint	114	72	$154.47	$60.37
99213 Established patient office or other outpatient visit, typically 15 minutes	107	80	$184.13	$67.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$274.50	$101.91
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	78	28	$64.00	$26.63
73562 X-ray of knee, 3 views	56	49	$109.32	$33.23
97140 Therapy procedure using manual technique, each 15 minutes	56	30	$60.00	$21.34
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	51	15	$962.59	$137.62
73560 X-ray of knee, 1-2 views	33	29	$86.25	$29.42
73030 X-ray of shoulder, minimum of 2 views	24	22	$83.17	$26.76
73020 X-ray of shoulder, 1 view	18	17	$62.62	$21.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$252.79	$102.60
73721 Mri scan of leg joint without contrast	12	12	$877.37	$155.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	418	133	$64.00	$27.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	276	55	$34.00	$6.73
97140 Therapy procedure using manual technique, each 15 minutes	261	127	$60.00	$22.39
99213 Established patient office or other outpatient visit, typically 15 minutes	113	90	$164.00	$69.40
20610 Aspiration and/or injection of fluid from large joint	108	65	$134.00	$64.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$244.00	$103.40
73562 X-ray of knee, 3 views	87	70	$89.00	$34.15
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	51	11	$1114.00	$147.54
97161 Evaluation of physical therapy, typically 20 minutes	39	37	$164.00	$78.67
73560 X-ray of knee, 1-2 views	36	30	$73.00	$29.68
73030 X-ray of shoulder, minimum of 2 views	27	25	$72.00	$26.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$241.00	$103.85
73721 Mri scan of leg joint without contrast	16	16	$824.88	$161.46
73020 X-ray of shoulder, 1 view	14	11	$56.00	$22.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$99.00	$35.91

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 18672

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

296013 (AZ)

Hospital & Practice Group Affiliations

Banner - University Physician Specialists Llc

755 E Mcdowell Rd, Phoenix, AZ 850062506

Phone: 6025213086

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Laura Vogel , MD

Orthopaedic Surgery - Sports Medicine

NPI 1013274950

Doctor of Medicine (M.D.)

Dr. Jon Whisler , MD

Orthopaedic Surgery

NPI 1043215684

Doctor of Medicine (M.D.)

Dr. Keerat Singh , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1083971691

Doctor of Medicine (M.D.)

Dr. Anuj Netto , MD

Orthopaedic Surgery

NPI 1104054311

Doctor of Medicine (M.D.)

Dr. Vivek Mehta , MD

Physical Medicine & Rehabilitation

NPI 1114187614

Doctor of Medicine (M.D.)

April Bryant , MS OTR, L

Occupational Therapist

NPI 1114297082

MSOTR, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2013

Registered at 2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 850164872 (Tel: 6022776211)

📍

Updated Business Mailing Address February 11, 2013

Registered at 2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 850164872 (Tel: 6022776211)

👤

Provider Name / Credentials Updated February 11, 2013

Recorded as THOMAS CARTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2013

Orthopaedic Surgery (License #18672 in AZ)

🟢

Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Carter. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255316287

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2005

Last Update: February 11, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2222 E Highland Ave, Ste 300

Phoenix, AZ 850164872

Phone: 6022776211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.