Active NPI 1275582975 Individual Practitioner Male Practitioner

Dr. Herbert Ballentine Carter , MD

Urology • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Carter, MD is a registered healthcare professional specializing in Urology in Baltimore, MD. Practice services are available at 601 N CAROLINE ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of prostate gland, ultrasound scan of pelvic region through rectum. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 N Caroline St

Baltimore, MD 212870006

Telephone 4109556100

Associated Practice Facility / Clinic

🏢 Johns Hopkins University Facility NPI 1295731966

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Baltimore, MD

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.6 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

83 Specialists

Practicing in Baltimore, MD (331 Statewide)

Telehealth Adoption Rate

36.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	73	$155.00	$54.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	66	$250.00	$83.42
55700 Biopsy of prostate gland	42	42	$688.00	$144.05
76872 Ultrasound scan of pelvic region through rectum	30	30	$291.00	$35.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$317.00	$80.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$90.00	$27.43
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$253.00	$54.55

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	120	109	$242.50	$82.53
99213 Established patient office or other outpatient visit, typically 15 minutes	103	100	$155.00	$53.58
55700 Biopsy of prostate gland	86	86	$688.00	$139.72
76872 Ultrasound scan of pelvic region through rectum	85	85	$291.00	$34.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	57	$90.00	$27.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$317.00	$80.70
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$253.00	$53.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$300.00	$117.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$400.00	$137.33
52000 Diagnostic exam of bladder and urethra using an endoscope	13	12	$600.00	$86.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
55700 Biopsy of prostate gland	128	128	$688.00	$140.46
76872 Ultrasound scan of pelvic region through rectum	112	112	$291.00	$34.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	78	$190.00	$82.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	77	77	$291.00	$33.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$317.00	$80.67
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$162.34	$53.66
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$253.00	$52.78
55845 Removal of prostate gland and surrounding lymph nodes on both sides of the pelvis through abdominal incision	19	19	$6296.00	$1474.74
52000 Diagnostic exam of bladder and urethra using an endoscope	17	17	$600.00	$95.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$400.00	$129.55

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MD D34950

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

275931400 (MD)

Practice Associates & Co-Workers

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

10 Associated Practitioners

Gregory Howard

Nurse Practitioner - Acute Care

NPI 1073107207

Dr. Patrick Walsh , MD

Urology

NPI 1073549127

Doctor of Medicine (M.D.)

Dr. Symone Isaac-Wilkins , MD

Student in an Organized Health Care Education/Training Program

NPI 1326780008

Doctor of Medicine (M.D.)

Dr. Lamont Wilkins , MD

Urology

NPI 1346872876

Doctor of Medicine (M.D.)

Dr. John Gearhart , MD

Urology

NPI 1396782686

Doctor of Medicine (M.D.)

Dr. Alan Partin , MD

Urology

NPI 1437106267

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 January 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2013

Registered at 601 N CAROLINE ST, BALTIMORE, MD 212870006 (Tel: 4109556100)

📍

Updated Business Mailing Address January 24, 2013

Registered at PO BOX 64255, BALTIMORE, MD 212644255

👤

Provider Name / Credentials Updated January 24, 2013

Recorded as HERBERT CARTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

Urology (License #D34950 in MD)

🟢

Initial NPI Registration & Enumeration May 09, 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: 1275582975

Entity Type:

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

Enumeration Date: May 09, 2006

Last Update: January 24, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 64255

Baltimore, MD 212644255

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.