Active NPI 1053308171 Individual Practitioner Female Practitioner

Dr. Tricia A Carty , MD

Internal Medicine • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tricia Carty, MD is a certified Internal Medicine practicing in Fall River, MA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Carty delivers high-quality medical care to the local community at 277 PLEASANT ST STE 303.

Dr. Carty is affiliated with Prima Care, Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

277 Pleasant St Ste 303

Fall River, MA 027213005

Telephone 7742940045

Associated Practice Facility / Clinic

🏢 Prima Care, Pc Facility NPI 1265422596

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +2.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carty (31 Years) 31 Yrs

Fall River Specialty Average (28.4 Years) 28.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	255	$395.76	$136.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	201	201	$403.18	$141.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	188	28	$195.00	$67.04
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	91	20	$147.19	$51.50
93000 Routine ekg using at least 12 leads including interpretation and report	62	61	$54.45	$15.28
G0008 Administration of influenza virus vaccine	47	46	$148.09	$32.81
90653 Vaccine for influenza for injection into muscle	35	35	$208.94	$81.82
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$279.47	$96.52
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	12	11	$411.33	$144.49

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	386	221	$392.00	$131.37
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	237	33	$193.00	$64.56
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	224	32	$146.00	$49.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$400.00	$134.34
93000 Routine ekg using at least 12 leads including interpretation and report	44	43	$54.00	$15.05
G0008 Administration of influenza virus vaccine	37	37	$144.00	$31.47
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	35	35	$142.14	$75.65
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	34	13	$406.00	$137.77
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	30	11	$213.00	$72.81
36415 Insertion of needle into vein for collection of blood sample	30	23	$12.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$278.00	$90.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$169.00	$54.46

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	420	229	$384.67	$133.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	312	47	$147.69	$66.40
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	237	41	$123.55	$50.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$393.97	$138.87
G0008 Administration of influenza virus vaccine	45	45	$128.13	$30.87
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	39	23	$322.72	$140.02
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$54.00	$14.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	37	37	$130.32	$70.25
36415 Insertion of needle into vein for collection of blood sample	30	20	$12.00	$2.96
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	26	12	$179.31	$73.24
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$270.47	$95.47

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	655	291	$355.54	$136.42
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	560	110	$131.00	$43.14
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	323	95	$111.00	$39.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$374.09	$139.60
G0008 Administration of influenza virus vaccine	85	84	$92.44	$17.86
90662 Influenza vaccine split virus, preservative free	81	80	$119.16	$65.15
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	77	46	$290.00	$97.01
93000 Routine ekg using at least 12 leads including interpretation and report	65	64	$54.00	$15.74
36415 Insertion of needle into vein for collection of blood sample	48	25	$12.00	$3.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	27	$169.00	$56.18
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$245.38	$96.87
99443 Telephone medical discussion with physician, 21-30 minutes	19	14	$380.00	$137.42
G0009 Administration of pneumococcal vaccine	17	17	$91.47	$17.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$243.27	$123.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	845	121	$131.79	$44.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	239	$345.00	$115.44
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	422	103	$118.00	$39.64
99443 Telephone medical discussion with physician, 21-30 minutes	160	116	$348.20	$115.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$369.43	$123.62
G0444 Annual depression screening, 5 to 15 minutes	90	90	$58.00	$19.46
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	77	19	$145.45	$46.79
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	76	49	$292.05	$97.12
G0008 Administration of influenza virus vaccine	72	71	$86.00	$17.77
90662 Influenza vaccine split virus, preservative free	69	68	$110.48	$59.83
99442 Telephone medical discussion with physician, 11-20 minutes	45	43	$224.31	$79.84
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$54.57	$18.18
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$236.47	$80.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$169.70	$56.90
G0009 Administration of pneumococcal vaccine	20	20	$81.10	$17.67
36415 Insertion of needle into vein for collection of blood sample	18	18	$12.00	$2.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$234.00	$118.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,125	144	$115.96	$43.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	751	296	$300.30	$113.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$329.43	$122.85
G0008 Administration of influenza virus vaccine	117	114	$89.85	$17.42
90662 Influenza vaccine split virus, preservative free	106	104	$103.69	$54.74
G0444 Annual depression screening, 5 to 15 minutes	91	91	$51.41	$19.19
93000 Routine ekg using at least 12 leads including interpretation and report	77	69	$47.47	$18.06
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	68	18	$130.79	$48.53
36415 Insertion of needle into vein for collection of blood sample	44	25	$11.30	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$204.77	$78.43
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	37	31	$252.86	$97.05
G0009 Administration of pneumococcal vaccine	36	36	$110.86	$17.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	23	$150.20	$56.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$218.12	$110.15
90670 Pneumococcal vaccine for injection into muscle	11	11	$411.91	$206.47

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	616	272	$282.99	$110.84
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	141	61	$112.00	$43.96
G0008 Administration of influenza virus vaccine	121	119	$110.17	$21.55
90662 Influenza vaccine split virus, preservative free	111	111	$78.40	$51.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$307.82	$122.09
93000 Routine ekg using at least 12 leads including interpretation and report	68	64	$45.00	$17.87
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$192.80	$76.39
G0009 Administration of pneumococcal vaccine	39	39	$106.49	$21.55
36415 Insertion of needle into vein for collection of blood sample	24	17	$9.75	$2.84
90670 Pneumococcal vaccine for injection into muscle	24	24	$319.25	$189.07
G0444 Annual depression screening, 5 to 15 minutes	19	19	$48.00	$18.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$142.33	$56.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$156.38	$105.59

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	728	277	$271.69	$110.10
G0008 Administration of influenza virus vaccine	115	112	$92.36	$26.66
90662 Influenza vaccine split virus, preservative free	97	97	$62.45	$48.05
93000 Routine ekg using at least 12 leads including interpretation and report	56	53	$43.43	$17.59
G0009 Administration of pneumococcal vaccine	54	54	$75.93	$26.66
90670 Pneumococcal vaccine for injection into muscle	46	46	$289.00	$184.84
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$182.53	$75.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$140.48	$54.09
36415 Insertion of needle into vein for collection of blood sample	23	12	$18.57	$2.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$29.93	$17.48
99495 Transitional care management services for problem of at least moderate complexity	12	12	$290.67	$169.08

Medical Specialties & State Licenses

CMS Verified: 2025-04-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 154993

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

110002787A (MA)

Medicaid State Provider ID

TC29446 (RI)

Hospital & Practice Group Affiliations

Prima Care, Pc

277 Pleasant St, Fall River, MA 027213005

Phone: 5086763292

Practice Associates & Co-Workers

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

1 Associated Practitioners

Laura Runyan , PA-C

Physician Assistant

NPI 1952770257

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 15, 2025

Registered at 277 PLEASANT ST STE 303, FALL RIVER, MA 027213005 (Tel: 7742940045)

📍

Updated Business Mailing Address April 15, 2025

Registered at 277 PLEASANT ST, FALL RIVER, MA 027213005 (Tel: 5086763292)

✅

NPI Profile Active February 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2016

Registered at 534 PROSPECT ST, FALL RIVER, MA 027205281 (Tel: 5089737766)

📍

Updated Business Mailing Address February 11, 2016

Registered at 200 MILL RD, STE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

👤

Provider Name / Credentials Updated February 11, 2016

Recorded as TRICIA CARTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2016

Internal Medicine (License #154993 in MA)

🟢

Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Tricia Carty. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053308171

Entity Type:

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

Enumeration Date: October 04, 2005

Last Update: April 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

277 Pleasant St

Fall River, MA 027213005

Phone: 5086763292

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.