Active NPI 1699838094 Individual Practitioner Male Practitioner

Dr. James Edward Carter , MD

Internal Medicine • Chico, CA

Professional Overview & Biography Verified Profile Summary

Dr. James Carter, MD is a registered healthcare professional specializing in Internal Medicine in Chico, CA. Practice services are available at 1560 HUMBOLDT RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1560 Humboldt Rd
#5

Chico, CA 95928

Telephone 5308916331

Fax 6308916200

Associated Practice Facility / Clinic

🏢 James Nagel, Md Facility NPI 1891877197

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chico, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.8 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

34 Specialists

Practicing in Chico, CA (18502 Statewide)

Telehealth Adoption Rate

23.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	102	$194.00	$183.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$139.00	$130.99
99497 Advance care planning, first 30 minutes	53	52	$90.00	$83.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$142.00	$131.91
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$98.00	$92.46
99443 Telephone medical discussion with physician, 21-30 minutes	24	16	$139.00	$130.70
99442 Telephone medical discussion with physician, 11-20 minutes	20	14	$98.00	$92.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	207	153	$194.00	$186.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	128	$139.00	$132.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$142.00	$135.39
99497 Advance care planning, first 30 minutes	46	45	$90.00	$86.01
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$98.00	$94.18
99443 Telephone medical discussion with physician, 21-30 minutes	33	25	$139.00	$132.22
99442 Telephone medical discussion with physician, 11-20 minutes	28	21	$98.00	$93.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$236.00	$228.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	1,262	111	$69.00	$67.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	164	$139.16	$134.28
99213 Established patient office or other outpatient visit, typically 15 minutes	203	115	$99.48	$94.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$175.29	$137.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	172	143	$199.35	$187.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	590	124	$69.00	$66.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	161	$120.13	$113.34
99213 Established patient office or other outpatient visit, typically 15 minutes	233	140	$85.06	$78.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	187	147	$180.21	$151.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$175.00	$120.75
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	123	123	$21.00	$19.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	193	$120.00	$112.10
99213 Established patient office or other outpatient visit, typically 15 minutes	269	154	$85.00	$76.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	183	183	$175.00	$119.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	169	149	$180.00	$149.29
G0008 Administration of influenza virus vaccine	67	67	$35.00	$17.33
90756 Vaccine for influenza for injection into muscle	47	47	$40.00	$26.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$210.00	$207.09
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$180.00	$176.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$168.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	159	$119.89	$104.98
99213 Established patient office or other outpatient visit, typically 15 minutes	249	142	$85.00	$71.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$175.00	$113.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	124	$180.00	$140.43
G0008 Administration of influenza virus vaccine	75	75	$35.00	$21.47
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	55	55	$35.00	$19.37
90662 Influenza vaccine split virus, preservative free	20	20	$35.25	$34.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$180.00	$166.58
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$64.00	$16.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	368	179	$85.00	$71.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	159	$120.00	$104.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$174.94	$111.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	117	$180.00	$139.71
G0008 Administration of influenza virus vaccine	71	70	$35.00	$26.83
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	55	55	$35.00	$18.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$180.00	$164.43
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$64.00	$16.53
90662 Influenza vaccine split virus, preservative free	11	11	$35.00	$34.30

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA 00G268700

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G268700 (CA)

Commercial Insurance / Payer ID License

00G268700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jean Johnson , FNP-C

Nurse Practitioner

NPI 1467534354

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2010

Registered at 1560 HUMBOLDT RD, #5, CHICO, CA 95928 (Tel: 5308916331)

📍

Updated Business Mailing Address December 28, 2010

Registered at 1560 HUMBOLDT RD, #5, CHICO, CA 95928 (Tel: 5308916331)

👤

Provider Name / Credentials Updated December 28, 2010

Recorded as JAMES CARTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2010

Internal Medicine (License #00G268700 in CA)

🟢

Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699838094

Entity Type:

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

Enumeration Date: December 18, 2006

Last Update: December 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1560 Humboldt Rd, #5

Chico, CA 95928

Phone: 5308916331

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.