Active NPI 1205878055 Individual Practitioner Male Practitioner

Dr. Thomas M Carter , MD

Ophthalmology • Ponca City, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Carter, MD is a certified Ophthalmology practicing in Ponca City, OK. With approximately 60 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1966, Dr. Carter delivers high-quality medical care to the local community at 400 FAIRVIEW AVE.

Dr. Carter accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Fairview Ave
Suite 21

Ponca City, OK 74601

Telephone 5807653356

Fax 5807653353

Associated Practice Facility / Clinic

🏢 W Robert Howard Md Inc Facility NPI 1942281373

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1966

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Ponca City, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

60 Yrs Matches City Avg

City Avg: 60.0 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Ponca City, OK (217 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (60 Years) 60 Yrs

Ponca City Specialty Average (60.0 Years) 60.0 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	684	502	$130.00	$118.71
92134 Imaging of retina	524	502	$69.94	$36.70
92133 Imaging of optic nerve	122	120	$70.00	$31.53
92083 Exam of visual field with extended testing	95	92	$113.00	$56.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$216.00	$155.14
66821 Removal of recurring cataract in lens capsule using a laser	62	43	$410.00	$301.89
99213 Established patient office or other outpatient visit, typically 15 minutes	61	48	$89.89	$84.09
66984 Removal of cataract with insertion of lens	49	32	$1078.00	$98.88

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	721	533	$130.00	$119.98
92134 Imaging of retina	573	556	$70.00	$37.30
92133 Imaging of optic nerve	119	116	$70.00	$33.01
92083 Exam of visual field with extended testing	93	91	$112.43	$57.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$216.00	$155.35
66821 Removal of recurring cataract in lens capsule using a laser	66	51	$410.00	$308.02
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$89.57	$84.68
66984 Removal of cataract with insertion of lens	54	32	$1078.00	$100.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$152.00	$105.29

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	826	604	$130.00	$121.82
92134 Imaging of retina	506	491	$70.00	$37.99
92133 Imaging of optic nerve	156	149	$70.00	$33.30
92083 Exam of visual field with extended testing	86	84	$113.00	$57.66
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$89.91	$86.40
66821 Removal of recurring cataract in lens capsule using a laser	65	47	$412.77	$315.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$216.00	$159.55
66984 Removal of cataract with insertion of lens	28	18	$1078.00	$101.75

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	587	447	$130.00	$123.94
92134 Imaging of retina	442	419	$70.00	$38.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	164	162	$200.00	$173.56
66984 Removal of cataract with insertion of lens	148	82	$1078.00	$514.78
92133 Imaging of optic nerve	143	136	$70.00	$33.97
92083 Exam of visual field with extended testing	95	94	$113.00	$58.91
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$89.24	$85.09
92136 Measurement of corneal curvature and depth of eye	75	75	$129.00	$51.77
66821 Removal of recurring cataract in lens capsule using a laser	48	48	$475.63	$404.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$216.00	$161.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$152.00	$107.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	762	724	$200.00	$140.49
92134 Imaging of retina	526	514	$70.00	$38.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	195	$130.00	$104.78
92133 Imaging of optic nerve	165	161	$70.00	$34.17
66984 Removal of cataract with insertion of lens	125	70	$1078.00	$525.28
92083 Exam of visual field with extended testing	120	118	$113.00	$58.98
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$83.00	$71.75
92136 Measurement of corneal curvature and depth of eye	74	74	$129.00	$59.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	73	73	$275.00	$201.42
66821 Removal of recurring cataract in lens capsule using a laser	51	51	$471.76	$393.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	874	839	$200.00	$139.32
92134 Imaging of retina	512	492	$70.00	$38.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	254	$136.79	$104.28
92133 Imaging of optic nerve	208	202	$70.00	$34.09
66984 Removal of cataract with insertion of lens	183	104	$1078.00	$615.76
92083 Exam of visual field with extended testing	125	122	$113.00	$60.05
99213 Established patient office or other outpatient visit, typically 15 minutes	104	84	$84.13	$71.00
92136 Measurement of corneal curvature and depth of eye	100	100	$129.00	$64.73
66821 Removal of recurring cataract in lens capsule using a laser	64	64	$471.88	$387.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$275.00	$195.32
66982 Complex removal of cataract with insertion of prosthetic lens	20	12	$1430.00	$737.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$152.00	$103.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	975	932	$200.00	$137.75
92134 Imaging of retina	554	537	$70.00	$38.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	384	235	$130.00	$102.06
92133 Imaging of optic nerve	212	209	$70.00	$34.06
66984 Removal of cataract with insertion of lens	173	96	$1078.00	$590.93
92083 Exam of visual field with extended testing	134	131	$113.00	$59.01
99213 Established patient office or other outpatient visit, typically 15 minutes	114	77	$83.00	$68.87
92136 Measurement of corneal curvature and depth of eye	104	104	$129.00	$70.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	82	82	$275.00	$197.95
66821 Removal of recurring cataract in lens capsule using a laser	50	50	$474.80	$389.38
66982 Complex removal of cataract with insertion of prosthetic lens	25	16	$1430.00	$759.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$152.00	$102.53
76514 Ultrasound scan of cornea to determine thickness	11	11	$20.00	$14.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	997	945	$200.00	$135.96
92134 Imaging of retina	552	538	$70.00	$37.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	262	$130.00	$100.51
92133 Imaging of optic nerve	221	215	$70.00	$33.55
66984 Removal of cataract with insertion of lens	196	114	$1078.00	$596.82
92083 Exam of visual field with extended testing	152	150	$113.00	$58.12
99213 Established patient office or other outpatient visit, typically 15 minutes	125	95	$83.00	$68.36
92136 Measurement of corneal curvature and depth of eye	120	114	$137.60	$75.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	119	119	$275.00	$193.01
66821 Removal of recurring cataract in lens capsule using a laser	54	53	$471.67	$387.90

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OK 8690

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100116530A (OK)

Commercial Insurance / Payer ID Blue Cross/blue Shield

731007150001 (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Gary Dorman

Optometrist

NPI 1467444315

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 29, 2009

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address May 29, 2009

Registered at 400 FAIRVIEW, SUITE 21, PONCA CITY, OK 74601 (Tel: 5807653356)

📍

Updated Practice Location May 29, 2009

Registered at 400 FAIRVIEW AVE, SUITE 21, PONCA CITY, OK 74601 (Tel: 5807653356)

👤

Provider Name / Credentials Updated May 29, 2009

Recorded as THOMAS CARTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2009

Ophthalmology (License #8690 in OK)

🟢

Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205878055

Entity Type:

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

Enumeration Date: June 12, 2006

Last Update: May 29, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Fairview, Suite 21

Ponca City, OK 74601

Phone: 5807653356

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.