Active NPI 1053312231 Individual Practitioner Male Practitioner

Dr. Michael W Carpenter , MD

Surgery • Covington, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Carpenter, MD is a certified Surgery practicing in Covington, LA. With approximately 37 years of clinical experience since graduating from University Of Washington School Of Medicine in 1989, Dr. Carpenter delivers high-quality medical care to the local community at 606 W 11TH AVE.

Dr. Carpenter is affiliated with Our Lady Of The Angels Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

606 W 11th Ave

Covington, LA 704333630

Telephone 9858923766

Fax 9858939567

Associated Practice Facility / Clinic

🏢 Northlake Surgical Associates, Ltd A Professional Medical Corporation Facility NPI 1962531483

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Covington, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +8.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Covington, LA (474 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carpenter (37 Years) 37 Yrs

Covington Specialty Average (28.7 Years) 28.7 Yrs

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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	56	$273.00	$118.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	32	$54.20	$40.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$91.00	$79.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$88.00	$65.84
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	21	$80.00	$17.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$40.00	$34.16
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$70.00	$46.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2748.00	$318.89
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$64.00	$63.00
99238 Hospital discharge day management, 30 minutes or less	12	12	$88.00	$71.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$220.00	$166.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$273.00	$133.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$99.67	$80.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	27	$54.34	$38.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$88.00	$70.27
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$68.95	$62.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	20	$80.00	$18.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$44.00	$36.17
47562 Removal of gallbladder using an endoscope	15	15	$1682.00	$583.24
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$2748.00	$325.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$220.00	$195.77
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$64.00	$48.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	28	$54.00	$35.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$91.00	$83.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	24	$88.82	$67.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$271.81	$131.80
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$67.89	$63.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	22	$80.00	$18.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$225.27	$198.35
47562 Removal of gallbladder using an endoscope	17	17	$1679.00	$570.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$46.06	$35.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$144.00	$136.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	12	$2748.00	$341.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	28	$88.00	$67.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$95.22	$76.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$220.00	$202.23
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$71.27	$50.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$273.00	$138.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$80.00	$18.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$40.00	$26.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$54.00	$39.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$144.00	$129.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$102.71	$77.59
47562 Removal of gallbladder using an endoscope	14	14	$1682.00	$566.37
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2748.00	$349.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	35	$88.00	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$92.57	$75.81
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$71.60	$50.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$227.05	$200.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$247.55	$135.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$54.00	$39.10
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	23	$80.00	$18.75
47562 Removal of gallbladder using an endoscope	23	23	$1682.00	$524.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$40.00	$25.34
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$71.13	$49.56
99238 Hospital discharge day management, 30 minutes or less	14	14	$88.00	$71.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2748.00	$344.20
76937 Ultrasonic guidance for blood vessel access	11	11	$65.45	$14.49

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	61	61	$93.77	$75.16
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$64.00	$50.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	24	$88.00	$71.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$153.00	$134.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$220.00	$199.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	24	$80.00	$18.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	20	$54.00	$38.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$40.00	$25.00
47562 Removal of gallbladder using an endoscope	18	18	$1682.00	$555.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2748.00	$341.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$99.30	$76.77
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$64.00	$49.62
76937 Ultrasonic guidance for blood vessel access	12	12	$49.67	$14.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	61	$68.48	$49.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	33	$54.00	$38.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$91.00	$75.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	29	$88.00	$69.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$153.00	$134.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$80.00	$18.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$220.00	$198.31
49324 Insertion of abdominal cavity catheter using an endoscope	17	17	$999.00	$393.90
47562 Removal of gallbladder using an endoscope	16	16	$1682.00	$591.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$144.00	$127.10
99238 Hospital discharge day management, 30 minutes or less	13	13	$88.00	$70.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2748.00	$321.14

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License LA L020752

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

1987603 (LA)

Hospital & Practice Group Affiliations

Our Lady Of The Angels Hospital Inc

433 Plaza St, Bogalusa, LA 704273729

Phone: 9857306706

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Mark Dominguez , MD

Surgery

NPI 1043428170

Doctor of Medicine (M.D.)

Dr. John Verhulst , MD

Surgery

NPI 1053312223

Doctor of Medicine (M.D.)

Anne Thiel , FNP-BC

Nurse Practitioner - Family

NPI 1083990139

Family Nurse Practitioner (Board Certified)

Dr. Mark Jones , MD

Surgery

NPI 1215165303

Doctor of Medicine (M.D.)

Dr. James Cody , MD

Surgery

NPI 1265434187

Doctor of Medicine (M.D.)

Dr. Ludwig Heintz , MD

Surgery

NPI 1295736411

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 March 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2016

Registered at 606 W 11TH AVE, COVINGTON, LA 704333630 (Tel: 9858923766)

📍

Updated Business Mailing Address March 16, 2016

Registered at PO BOX 54482, NEW ORLEANS, LA 701544482 (Tel: 9858983740)

👤

Provider Name / Credentials Updated March 16, 2016

Recorded as MICHAEL CARPENTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Surgery (License #L020752 in LA)

🟢

Initial NPI Registration & Enumeration August 10, 2005

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: 1053312231

Entity Type:

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

Enumeration Date: August 10, 2005

Last Update: March 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 54482

New Orleans, LA 701544482

Phone: 9858983740

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.