Active NPI 1720304074 Individual Practitioner Male Practitioner

Dr. Timothy Carter , MD

Surgery • West Islip, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Carter, MD is a certified Surgery practicing in West Islip, NY. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Carter delivers high-quality medical care to the local community at 1111 MONTAUK HWY STE 3-3.

Dr. Carter is affiliated with Chs Physician Partners Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using artery graft, 1 graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Montauk Hwy Ste 3-3

West Islip, NY 117954910

Telephone 6313766185

Associated Practice Facility / Clinic

🏢 Trustees Of The University Of Pennsylvania Facility NPI 1851370910

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Islip, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -8.7 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

17 Specialists

Practicing in West Islip, NY (2269 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (16 Years) 16 Yrs

West Islip Specialty Average (24.7 Years) 24.7 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
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	53	51	$185.00	$63.31
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	32	32	$57.00	$19.29
33533 Coronary artery bypass using artery graft, 1 graft	31	31	$6613.00	$1933.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$578.00	$198.49
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$221.00	$75.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$457.53	$196.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$622.41	$259.65
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$237.06	$106.96
33405 Replacement of aortic valve on heart-lung machine	16	16	$8015.00	$1891.15
33518 Coronary artery bypass using vein or artery graft, 2 grafts	14	14	$1442.00	$495.24
33268 Exclusion of appendage of left upper chamber of heart performed during other procedure on chest	11	11	$455.00	$156.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	49	49	$181.00	$61.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$591.00	$202.30
33533 Coronary artery bypass using artery graft, 1 graft	37	37	$6935.00	$2003.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$623.00	$261.37
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	34	34	$60.00	$19.71
33361 Replacement of aortic valve through the skin and femoral artery	28	27	$4454.00	$935.65
33518 Coronary artery bypass using vein or artery graft, 2 grafts	21	21	$1524.00	$496.74
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$236.24	$107.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$226.00	$77.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$332.00	$151.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$459.00	$198.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$487.00	$211.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$332.00	$113.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	46	45	$187.00	$64.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$646.00	$269.81
33361 Replacement of aortic valve through the skin and femoral artery	36	36	$4755.00	$1026.68
33533 Coronary artery bypass using artery graft, 1 graft	34	34	$7356.00	$2217.83
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	29	29	$66.00	$22.60
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$284.41	$110.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$681.00	$233.64
33518 Coronary artery bypass using vein or artery graft, 2 grafts	17	17	$1618.00	$556.21
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$356.00	$122.66
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$52.00	$17.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$646.00	$222.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	59	58	$182.00	$64.48
33361 Replacement of aortic valve through the skin and femoral artery	40	40	$4625.00	$1031.43
33533 Coronary artery bypass using artery graft, 1 graft	26	26	$7138.00	$2252.31
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	26	26	$64.00	$21.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$286.29	$134.99
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$262.67	$111.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$131.00	$45.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$125.00	$68.55
33518 Coronary artery bypass using vein or artery graft, 2 grafts	11	11	$1573.00	$563.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33361 Replacement of aortic valve through the skin and femoral artery	42	42	$9730.00	$1023.17
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	40	36	$383.00	$64.49
33533 Coronary artery bypass using artery graft, 1 graft	27	27	$15012.00	$2349.59
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	25	25	$136.00	$22.79
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$432.00	$90.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$751.21	$130.57
33518 Coronary artery bypass using vein or artery graft, 2 grafts	11	11	$3322.00	$556.11
33405 Replacement of aortic valve on heart-lung machine	11	11	$18221.00	$2226.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	32	31	$378.00	$61.87
33533 Coronary artery bypass using artery graft, 1 graft	28	28	$14453.00	$2116.25
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	27	27	$126.00	$20.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	21	$163.00	$26.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$773.00	$126.81
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$432.53	$86.01
33361 Replacement of aortic valve through the skin and femoral artery	14	14	$10588.00	$1085.26
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$330.00	$54.01
33405 Replacement of aortic valve on heart-lung machine	13	13	$17562.00	$2437.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$275.00	$45.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	32	32	$8556.94	$2177.89
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	31	31	$75.19	$20.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	31	$173.35	$44.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$426.70	$126.99
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	15	15	$192.00	$59.79
33518 Coronary artery bypass using vein or artery graft, 2 grafts	15	15	$1912.80	$522.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$131.31	$24.89
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$228.08	$52.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	19	$138.00	$45.01
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	18	18	$63.00	$20.66
33533 Coronary artery bypass using artery graft, 1 graft	16	16	$7251.00	$2154.91

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 288008

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.

Hospital & Practice Group Affiliations

Chs Physician Partners Pc

1000 N Village Ave, Rockville Center, NY 115701000

Chs Physician Partners Pc

2200 Northern Blvd, Greenvale, NY 115481220

Chs Physician Partners Pc

2000 N Village Ave, Rockville Centre, NY 115701001

Chs Physician Partners Pc

100 Port Washington Blvd, Roslyn, NY 115761347

Chs Physician Partners Pc

1000 Montauk Hwy, West Islip, NY 117954927

Phone: 6313763000

Chs Physician Partners Pc

2112 Middle Country Rd, Centereach, NY 117203519

Phone: 6314686900

Secondary Practice Locations

3400 Spruce St, Department Of Surgery

Philadelphia, PA 191044238

Phone: 2157767273

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 08, 2019

Registered at 1111 MONTAUK HWY STE 3-3, WEST ISLIP, NY 117954910 (Tel: 6313766185)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2019

Surgery (License #288008 in NY)

✅

NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2016

Registered at 3400 SPRUCE ST, DEPARTMENT OF SURGERY, PHILADELPHIA, PA 191044238 (Tel: 2157767273)

📍

Updated Business Mailing Address June 03, 2016

Registered at 3400 SPRUCE ST, DEPARTMENT OF SURGERY, PHILADELPHIA, PA 191044238 (Tel: 2157767273)

👤

Provider Name / Credentials Updated June 03, 2016

Recorded as TIMOTHY CARTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 12, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720304074

Entity Type:

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

Enumeration Date: April 12, 2010

Last Update: August 08, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3400 Spruce St, Department Of Surgery

Philadelphia, PA 191044238

Phone: 2157767273

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.