Active NPI 1063478733 Individual Practitioner Male Practitioner

Dr. Stephen L Carter , MD

Surgery • Chambersburg, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Carter, MD is a certified Surgery practicing in Chambersburg, PA. With approximately 36 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1990, Dr. Carter delivers high-quality medical care to the local community at 757 NORLAND AVE.

Dr. Carter is affiliated with Consonant Healing Medical Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

757 Norland Ave
Suite 208

Chambersburg, PA 172014230

Telephone 7172176986

Fax 7172176885

Associated Practice Facility / Clinic

🏢 Womens Health Professionals Of Chambersburg Facility NPI 1417177924

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chambersburg, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Chambersburg, PA (1976 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (36 Years) 36 Yrs

Chambersburg Specialty Average (25.7 Years) 25.7 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
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	83	66	$136.55	$38.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	37	$237.02	$102.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	20	$237.02	$103.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	21	$184.62	$71.46
11042 Removal of skin and tissue, 20.0 sq cm or less	35	14	$279.50	$57.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	16	$184.62	$71.13
11042 Removal of skin and tissue, 20.0 sq cm or less	23	11	$279.50	$124.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	16	$136.55	$38.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	97	41	$184.62	$72.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	29	$184.62	$72.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	69	30	$237.02	$103.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	48	41	$136.55	$38.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	19	$237.02	$103.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	19	$136.55	$38.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$323.48	$130.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	290	86	$184.62	$67.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	248	45	$184.62	$67.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	122	43	$237.02	$89.38
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	90	61	$136.55	$42.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	61	61	$323.48	$126.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	23	$237.02	$89.04
11042 Removal of skin and tissue, 20.0 sq cm or less	52	22	$279.50	$59.72
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	49	40	$136.55	$42.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$323.48	$126.23
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$373.32	$162.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	278	51	$184.62	$69.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	157	62	$184.62	$69.32
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	77	50	$136.55	$44.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	17	$237.02	$91.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	27	$237.02	$91.15
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	58	$323.48	$129.94
11042 Removal of skin and tissue, 20.0 sq cm or less	46	12	$279.50	$132.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	43	12	$536.96	$239.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	26	$323.48	$129.74
11042 Removal of skin and tissue, 20.0 sq cm or less	26	15	$279.50	$55.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	18	$136.55	$44.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	21	21	$205.86	$90.05
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$205.86	$90.02
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$373.32	$166.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	334	61	$227.50	$70.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	68	32	$110.41	$44.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	57	17	$258.34	$93.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	35	$265.15	$132.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$102.00	$74.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$230.00	$164.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$160.00	$108.43
76642 Limited ultrasound scan of 1 breast	16	14	$127.00	$87.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$150.00	$108.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$98.40	$71.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	25	$65.00	$37.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$181.11	$135.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$160.00	$107.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$213.64	$163.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$136.36	$106.88
76642 Limited ultrasound scan of 1 breast	21	19	$127.00	$87.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$90.82	$72.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$59.77	$43.43
38900 Lymph node imaging during surgery	12	12	$203.00	$138.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	136	$112.10	$69.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$143.21	$104.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$162.88	$105.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$82.00	$41.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$205.24	$160.69
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$116.40	$72.55
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$125.00	$100.05

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD049087L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001764851 0003 (PA)

Commercial Insurance / Payer ID Aetna Hmo

6794019 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

472812 (PA)

Commercial Insurance / Payer ID United Health Care (Mamsi)

451372 (PA)

Commercial Insurance / Payer ID United Health Care (Mamsi)

1167382 (PA)

Commercial Insurance / Payer ID Informed

25-1716306 (PA)

Commercial Insurance / Payer ID Gateway

1580736 (PA)

Commercial Insurance / Payer ID Health America

1871653519 (PA)

Commercial Insurance / Payer ID Carefirst

G920-0114/KDM4CU (PA)

Commercial Insurance / Payer ID Unison

266530 (PA)

Hospital & Practice Group Affiliations

Consonant Healing Medical Associates

905 Tower Rd, Bristol, PA 190073116

Phone: 4433839300

Consonant Healing Medical Associates

3900 Westerre Pkwy, Henrico, VA 232331339

Phone: 4433839300

Practice Associates & Co-Workers

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

13 Associated Practitioners

Donald Swigart , RVT

Radiologic Technologist - Vascular Sonography

NPI 1083738769

Dr. Patricia Carey , PhD, RD, LDN

Dietitian, Registered

NPI 1134307341

Doctor of Philosophy (Ph.D.), Registered Dietitian, Licensed Dietitian Nutritionist

Louise Johnston , MS, RD, LDN

Dietitian, Registered

NPI 1154645836

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

Barbara Dromazos , RD, LDN

Dietitian, Registered

NPI 1316115462

Registered Dietitian, Licensed Dietitian Nutritionist

Dr. Wayne Myers , PharmD

Pharmacist

NPI 1326125857

Doctor of Pharmacy (Pharm.D.)

Heather Mcnew , RD, LDN

Dietitian, Registered

NPI 1386918373

Registered Dietitian, Licensed Dietitian Nutritionist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2014

Registered at 757 NORLAND AVE, SUITE 208, CHAMBERSBURG, PA 172014230 (Tel: 7172176986)

📍

Updated Business Mailing Address February 18, 2014

Registered at 785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 172014232 (Tel: 7172639555)

👤

Provider Name / Credentials Updated February 18, 2014

Recorded as STEPHEN CARTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2014

Surgery (License #MD049087L in PA)

🟢

Initial NPI Registration & Enumeration April 21, 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: 1063478733

Entity Type:

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

Enumeration Date: April 21, 2006

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

785 5th Ave, Suite 3

Chambersburg, PA 172014232

Phone: 7172639555

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.