Active NPI 1457441032 Individual Practitioner Male Practitioner

Dr. Jeffrey E Carter , MD

Internal Medicine • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Carter, MD is a certified Internal Medicine practicing in Boulder, CO. With approximately 25 years of clinical experience since graduating from Tufts University School Of Medicine in 2001, Dr. Carter delivers high-quality medical care to the local community at 1100 BALSAM AVE.

Dr. Carter is affiliated with Boulder Community Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, 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

1100 Balsam Ave

Boulder, CO 803043404

Telephone 3034402398

Fax 3039383372

Associated Practice Facility / Clinic

🏢 Boulder Emergency Physicians Pc Facility NPI 1659354637

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +0.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

77 Specialists

Practicing in Boulder, CO (2124 Statewide)

Telehealth Adoption Rate

31.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (25 Years) 25 Yrs

Boulder Specialty Average (24.2 Years) 24.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	432	198	$228.93	$116.06
99239 Hospital discharge day management, more than 30 minutes	139	136	$221.28	$112.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	122	$340.33	$169.52
99291 Critical care, first 30-74 minutes	14	13	$532.86	$207.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	429	193	$217.00	$117.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	165	161	$338.02	$172.22
99239 Hospital discharge day management, more than 30 minutes	129	125	$210.00	$114.05
99291 Critical care, first 30-74 minutes	30	25	$452.70	$210.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$145.00	$78.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	458	217	$173.00	$102.62
99239 Hospital discharge day management, more than 30 minutes	135	126	$176.00	$105.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$339.00	$199.08
99220 Hospital observation care, typically 70 minutes	39	39	$309.00	$179.53
99291 Critical care, first 30-74 minutes	37	21	$460.00	$218.08
99217 Hospital observation care on day of discharge	29	29	$121.00	$72.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	20	$120.00	$71.70
99238 Hospital discharge day management, 30 minutes or less	12	12	$121.00	$72.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	495	212	$173.00	$104.69
99239 Hospital discharge day management, more than 30 minutes	131	127	$176.00	$108.36
99220 Hospital observation care, typically 70 minutes	67	67	$309.00	$182.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$339.00	$203.04
99217 Hospital observation care on day of discharge	47	45	$121.00	$73.49
99291 Critical care, first 30-74 minutes	19	13	$460.00	$222.60
99238 Hospital discharge day management, 30 minutes or less	17	17	$121.00	$73.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$120.00	$72.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	480	203	$171.99	$105.92
99239 Hospital discharge day management, more than 30 minutes	76	70	$175.08	$108.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	65	$336.98	$205.71
99220 Hospital observation care, typically 70 minutes	62	62	$307.90	$185.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	26	$119.45	$73.47
99238 Hospital discharge day management, 30 minutes or less	43	41	$120.72	$74.61
99291 Critical care, first 30-74 minutes	30	20	$460.00	$225.70
99217 Hospital observation care on day of discharge	28	28	$119.93	$74.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	501	226	$164.00	$105.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	121	$320.00	$205.82
99239 Hospital discharge day management, more than 30 minutes	114	111	$169.00	$107.21
99220 Hospital observation care, typically 70 minutes	59	59	$292.00	$189.55
99217 Hospital observation care on day of discharge	48	48	$115.00	$74.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	27	$114.00	$74.30
99291 Critical care, first 30-74 minutes	36	25	$434.00	$220.01
99238 Hospital discharge day management, 30 minutes or less	30	30	$115.00	$74.73
99226 Subsequent observation care, typically 35 minutes per day	16	15	$166.00	$106.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	477	210	$164.00	$105.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	137	134	$320.00	$204.00
99239 Hospital discharge day management, more than 30 minutes	109	106	$169.00	$108.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	48	$114.00	$73.52
99220 Hospital observation care, typically 70 minutes	48	48	$292.00	$188.08
99217 Hospital observation care on day of discharge	47	47	$115.00	$73.98
99291 Critical care, first 30-74 minutes	33	24	$434.00	$224.64
99238 Hospital discharge day management, 30 minutes or less	29	27	$115.00	$73.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	430	186	$164.00	$104.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	129	$320.00	$202.32
99239 Hospital discharge day management, more than 30 minutes	96	94	$169.00	$107.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	46	$119.32	$72.55
99220 Hospital observation care, typically 70 minutes	71	71	$292.00	$186.82
99217 Hospital observation care on day of discharge	40	40	$115.00	$73.36
99238 Hospital discharge day management, 30 minutes or less	23	23	$115.00	$72.94
99291 Critical care, first 30-74 minutes	13	13	$434.00	$206.31

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO 42762

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License CO 42762

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

71928529 (CO)

Hospital & Practice Group Affiliations

Boulder Community Health

4747 Arapahoe Ave, Boulder, CO 803031131

Phone: 3034157610

Boulder Community Health

1755 48th St, Boulder, CO 803012712

Phone: 3034157450

Boulder Community Health

4747 Arapahoe Ave, Boulder, CO 803031131

Phone: 3034157610

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. John Meyer , MD

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003876624

Doctor of Medicine (M.D.)

Dr. Kevin Hanley , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003877390

Doctor of Medicine (M.D.)

Dhori Knud-Hansen , OTR

Occupational Therapist

NPI 1013124502

Occupational Therapist Registered

Laughlin Mccollester

Emergency Medicine

NPI 1013955418

Dr. Richard Gildersleeve , MD

Anesthesiology

NPI 1023044369

Doctor of Medicine (M.D.)

Martha Cabeen

Emergency Medicine

NPI 1043295306

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2011

Registered at 1100 BALSAM AVE, BOULDER, CO 803043404 (Tel: 3034402398)

📍

Updated Business Mailing Address October 24, 2011

Registered at 345 MAXWELL AVE, BOULDER, CO 803043972 (Tel: 3035445783)

👤

Provider Name / Credentials Updated October 24, 2011

Recorded as JEFFREY CARTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Internal Medicine (License #42762 in CO)

🟢

Initial NPI Registration & Enumeration October 13, 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: 1457441032

Entity Type:

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

Enumeration Date: October 13, 2006

Last Update: October 24, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

345 Maxwell Ave

Boulder, CO 803043972

Phone: 3035445783

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.