Active NPI 1063405165 Individual Practitioner Male Practitioner

Dr. Frank Moulton Carter , MD

Colon & Rectal Surgery • West Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Frank Carter, MD is a certified Colon & Rectal Surgery practicing in West Reading, PA. With approximately 42 years of clinical experience since graduating from Temple University School Of Medicine in 1984, Dr. Carter delivers high-quality medical care to the local community at 301 S 7TH AVE.

Dr. Carter is affiliated with Berks Colorectal Surgical Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 S 7th Ave
Suite 100

West Reading, PA 196111410

Telephone 6103756001

Fax 6103740678

Associated Practice Facility / Clinic

🏢 Berks Colorectal Surgical Associates Facility NPI 1336132323

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in West Reading, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +10.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

3 Specialists

Practicing in West Reading, PA (126 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (42 Years) 42 Yrs

West Reading Specialty Average (31.3 Years) 31.3 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	27	$60.00	$47.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	41	$299.50	$165.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	12	$145.00	$112.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$174.13	$106.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$173.33	$122.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	15	$125.00	$72.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$225.32	$159.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$220.63	$172.59
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$124.55	$86.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$251.47	$124.94
46221 Removal of external hemorrhoids by rubber banding	17	16	$400.00	$266.62
46600 Diagnostic examination of the anus using an endoscope	15	15	$150.00	$109.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$511.36	$228.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	19	$125.00	$77.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	26	$60.00	$48.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	46	$300.00	$170.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	43	$155.00	$124.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$165.00	$109.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	27	$190.00	$174.43
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$115.91	$87.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$235.00	$162.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	12	$145.00	$116.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$275.00	$214.21
46221 Removal of external hemorrhoids by rubber banding	15	15	$400.00	$275.66
45300 Diagnostic examination of rectum and large bowel using an endoscope	11	11	$165.00	$27.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$127.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	25	$125.00	$70.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$155.00	$126.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	47	$300.00	$194.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	24	$60.00	$38.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$165.00	$110.38
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$105.00	$89.35
46221 Removal of external hemorrhoids by rubber banding	26	23	$359.62	$285.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$190.00	$178.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$235.00	$164.90
46600 Diagnostic examination of the anus using an endoscope	20	20	$133.00	$120.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$625.00	$252.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$275.00	$215.95
99238 Hospital discharge day management, 30 minutes or less	14	12	$110.00	$70.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	24	$125.00	$71.05
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$104.02	$89.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$165.00	$110.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	38	$148.10	$126.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$300.00	$197.92
46221 Removal of external hemorrhoids by rubber banding	32	29	$350.00	$287.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$60.00	$37.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	17	$190.00	$179.55
46600 Diagnostic examination of the anus using an endoscope	21	20	$125.00	$119.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$275.00	$209.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$235.00	$162.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$250.00	$134.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$625.00	$235.42
45380 Biopsy of large bowel using an endoscope	11	11	$536.36	$167.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	14	$141.49	$105.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	26	$125.00	$72.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	47	$300.00	$203.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$165.00	$106.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	34	$140.00	$108.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	23	$60.00	$39.70
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$95.00	$74.47
46221 Removal of external hemorrhoids by rubber banding	21	20	$350.00	$272.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$190.00	$145.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$235.00	$163.79
46600 Diagnostic examination of the anus using an endoscope	19	16	$125.00	$101.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$250.00	$131.45
99238 Hospital discharge day management, 30 minutes or less	14	14	$110.00	$73.38
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$550.00	$174.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$90.00	$72.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$165.00	$105.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	44	$300.00	$201.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$140.00	$105.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	19	$125.00	$72.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	21	$60.00	$39.36
46221 Removal of external hemorrhoids by rubber banding	24	22	$350.00	$268.49
46600 Diagnostic examination of the anus using an endoscope	21	19	$120.24	$93.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$235.00	$162.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$275.00	$204.34
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$550.00	$161.49
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$130.00	$74.87

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	76	66	$140.00	$103.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	29	$125.00	$71.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	50	$300.00	$200.07
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$90.00	$70.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	11	$135.00	$102.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$165.00	$104.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	20	$60.00	$38.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$233.41	$160.64
46221 Removal of external hemorrhoids by rubber banding	22	19	$350.00	$262.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$250.00	$135.07
46600 Diagnostic examination of the anus using an endoscope	19	15	$115.00	$86.12
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$550.00	$155.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$175.00	$141.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$275.00	$202.15
99238 Hospital discharge day management, 30 minutes or less	11	11	$110.00	$71.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	59	$90.00	$70.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	18	$98.18	$70.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	32	$60.00	$38.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	43	$300.00	$198.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	11	$125.23	$102.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$165.00	$104.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$130.81	$103.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	17	$250.00	$134.26
99238 Hospital discharge day management, 30 minutes or less	17	14	$110.00	$70.79
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$138.53	$72.01
46221 Removal of external hemorrhoids by rubber banding	17	16	$350.00	$259.23
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$550.00	$181.96

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License PA MD041054E

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License PA BC2250467

Hospital & Practice Group Affiliations

Berks Colorectal Surgical Associates

301 S 7th Ave, West Reading, PA 196111449

Phone: 6103756001

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Wayne Devos , MD, PhD

Colon & Rectal Surgery

NPI 1740273861

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2008

Registered at 301 S 7TH AVE, SUITE 100, WEST READING, PA 196111410 (Tel: 6103756001)

📍

Updated Business Mailing Address May 21, 2008

Registered at 301 S 7TH AVE, SUITE 100, WEST READING, PA 196111410 (Tel: 6103756001)

👤

Provider Name / Credentials Updated May 21, 2008

Recorded as FRANK CARTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Colon & Rectal Surgery (License #MD041054E in PA)

🟢

Initial NPI Registration & Enumeration August 24, 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: 1063405165

Entity Type:

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

Enumeration Date: August 24, 2005

Last Update: May 21, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 S 7th Ave, Suite 100

West Reading, PA 196111410

Phone: 6103756001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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