Active NPI 1588654214 Individual Practitioner Male Practitioner

Michael Roy Mccarter , PA-C

Physician Assistant • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Mccarter, PA-C is a certified Physician Assistant practicing in Albuquerque, NM. With approximately 23 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2003, Michael Mccarter delivers high-quality medical care to the local community at 8300 CONSTITUTION AVE NE.

Michael Mccarter is affiliated with Presbyterian Healthcare Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8300 Constitution Ave Ne

Albuquerque, NM 871107613

Telephone 5052536100

Fax 5055596479

Associated Practice Facility / Clinic

🏢 Presbyterian Healthcare Services Facility NPI 1982689865

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +13.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccarter (23 Years) 23 Yrs

Albuquerque Specialty Average (9.6 Years) 9.6 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
20610 Aspiration and/or injection of fluid from large joint	234	109	$88.82	$43.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	118	$98.40	$79.17
99213 Established patient office or other outpatient visit, typically 15 minutes	117	94	$73.00	$53.87
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	98	60	$115.35	$53.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$162.00	$109.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	243	117	$81.35	$44.08
99213 Established patient office or other outpatient visit, typically 15 minutes	105	87	$69.51	$55.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	91	$97.00	$81.49
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	84	42	$97.14	$57.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$162.66	$109.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$272.00	$109.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	285	135	$54.71	$39.16
99213 Established patient office or other outpatient visit, typically 15 minutes	206	154	$63.59	$56.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	92	$97.45	$81.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	71	39	$80.23	$56.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$159.44	$112.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$92.00	$70.80
27447 Replacement of knee joint, both sides of knee	12	11	$2832.00	$176.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	142	$67.42	$56.45
20610 Aspiration and/or injection of fluid from large joint	222	124	$71.66	$45.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	118	$101.58	$83.25
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	82	54	$82.68	$55.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$169.80	$111.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$107.87	$67.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	113	$61.46	$44.21
20610 Aspiration and/or injection of fluid from large joint	184	102	$68.44	$47.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	89	$97.73	$67.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	59	38	$69.42	$54.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$92.00	$65.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	245	125	$61.25	$43.62
20610 Aspiration and/or injection of fluid from large joint	171	90	$65.05	$45.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	65	35	$67.94	$54.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$95.13	$67.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$94.49	$65.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	171	$61.23	$43.27
20610 Aspiration and/or injection of fluid from large joint	178	124	$65.44	$44.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	105	$94.00	$66.18
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	74	49	$73.51	$56.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$92.00	$65.07
20605 Aspiration and/or injection of medium joint or joint capsule	15	11	$46.47	$32.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	157	$62.39	$42.50
20610 Aspiration and/or injection of fluid from large joint	158	103	$64.20	$45.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	153	$94.00	$65.87
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	66	48	$76.91	$55.25

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2014-0013

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

07002874 (NM)

Hospital & Practice Group Affiliations

Presbyterian Healthcare Services

Po Box, Albuquerque, NM 871256666

Presbyterian Healthcare Services

2400 Unser Blvd Se, Rio Rancho, NM 871243392

Presbyterian Healthcare Services

2200 W 21st St, Clovis, NM 881012011

Phone: 5057697577

Presbyterian Healthcare Services

2400 Unser Blvd Se, Rio Rancho, NM 871244740

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Surgery

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Doctor of Medicine (M.D.)

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Podiatrist - Foot & Ankle Surgery

NPI 1013532811

Doctor of Podiatric Medicine

Keenan Dodd

Physician Assistant

NPI 1023658341

Elizabeth Westrick , PA-C

Physician Assistant

NPI 1033759352

Physician Assistant (Certified)

Dr. Silas Klaver , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093194425

Doctor of Podiatric Medicine

Lauren Atkinson , PA-C

Physician Assistant - Surgical

NPI 1104119296

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2016

Registered at 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 871107613 (Tel: 5052536100)

📍

Updated Business Mailing Address March 28, 2016

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

👤

Provider Name / Credentials Updated March 28, 2016

Recorded as MICHAEL MCCARTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Physician Assistant (License #PA2014-0013 in NM)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration October 25, 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: 1588654214

Entity Type:

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

Enumeration Date: October 25, 2005

Last Update: March 28, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059236770

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.