Active NPI 1497721344 Individual Practitioner Male Practitioner

Dr. Craig B Carter , MD FACS

Surgery • Covina, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Carter, MD FACS is a certified Surgery practicing in Covina, CA. With approximately 44 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1982, Dr. Carter delivers high-quality medical care to the local community at 315 N 3RD AVE.

Dr. Carter accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 N 3rd Ave
Suite 204

Covina, CA 917231915

Telephone 6269158585

Fax 6269150685

Associated Practice Facility / Clinic

🏢 California Pharmacy Associates Inc Facility NPI 1740201797

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Covina, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs -3.5 yrs vs City Avg

City Avg: 47.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Covina, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (44 Years) 44 Yrs

Covina Specialty Average (47.5 Years) 47.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$110.00	$98.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	11	$108.00	$81.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$291.00	$179.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$154.00	$138.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	22	$111.03	$98.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$291.00	$182.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$112.00	$99.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	19	$112.29	$101.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$167.73	$143.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$235.00	$184.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	21	$110.00	$83.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$154.00	$120.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	29	$110.00	$81.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	15	$108.00	$77.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$154.00	$119.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$291.00	$197.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	36	$110.00	$77.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$235.00	$174.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$154.00	$114.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	28	$110.00	$77.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$154.00	$114.07

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G51813

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G518131 (CA)

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. William Choctaw , MD

Surgery

NPI 1013957950

Doctor of Medicine (M.D.)

Dr. Luis Martinez , MD

Specialist

NPI 1053493585

Doctor of Medicine (M.D.)

Dr. Jennifer Fog , PhD

Psychologist

NPI 1114944014

Doctor of Philosophy (Ph.D.)

Patricia Soriano

Nurse Practitioner - Family

NPI 1154735546

Dr. Hsin Lin , MD

Pediatrics

NPI 1194752279

Doctor of Medicine (M.D.)

Dr. Demetrio Hechanova , MD

Internal Medicine - Cardiovascular Disease

NPI 1275584203

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2010

Registered at 315 N 3RD AVE, SUITE 204, COVINA, CA 917231915 (Tel: 6269158585)

📍

Updated Business Mailing Address November 16, 2010

Registered at 315 N 3RD AVE, SUITE 204, COVINA, CA 917231905 (Tel: 6269158585)

👤

Provider Name / Credentials Updated November 16, 2010

Recorded as CRAIG CARTER, MD FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2010

Surgery (License #G51813 in CA)

🟢

Initial NPI Registration & Enumeration February 28, 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: 1497721344

Entity Type:

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

Enumeration Date: February 28, 2006

Last Update: November 16, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

315 N 3rd Ave, Suite 204

Covina, CA 917231905

Phone: 6269158585

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.