Active NPI 1568641850 Individual Practitioner Male Practitioner

Dr. Jeffrey Carter , MD

Surgery • Winchester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Carter, MD is a certified Surgery practicing in Winchester, VA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Carter delivers high-quality medical care to the local community at 25 E BOSCAWEN ST STE 300.

Dr. Carter maintains professional affiliations with Susquehanna Physician Services, Roswell Park Cancer Institute and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level 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

25 E Boscawen St Ste 300

Winchester, VA 226014799

Telephone 7162624375

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Winchester, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.8 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

36 Specialists

Practicing in Winchester, VA (909 Statewide)

Telehealth Adoption Rate

2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carter (19 Years) 19 Yrs

Winchester Specialty Average (19.8 Years) 19.8 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	18	13	$95.00	$47.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$95.00	$48.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	32	$95.00	$37.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	18	$238.41	$100.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	13	$162.00	$70.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$306.00	$132.58
99238 Hospital discharge day management, 30 minutes or less	11	11	$187.00	$70.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	34	$85.69	$38.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$171.52	$71.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$288.63	$135.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	16	$276.06	$98.85
99238 Hospital discharge day management, 30 minutes or less	15	15	$191.40	$71.50
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$212.36	$100.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	65	$79.00	$40.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$276.00	$140.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	23	$234.70	$106.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	23	$147.18	$73.51
99291 Critical care, first 30-74 minutes	20	15	$494.25	$227.02
99238 Hospital discharge day management, 30 minutes or less	19	18	$147.00	$74.43
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$204.00	$103.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	244	111	$74.82	$39.14
99291 Critical care, first 30-74 minutes	59	37	$496.55	$223.21
99221 Initial hospital inpatient care per day, typically 30 minutes	57	57	$194.12	$99.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	53	$264.40	$137.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	40	$215.60	$104.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	29	$138.62	$70.92
99238 Hospital discharge day management, 30 minutes or less	29	29	$139.89	$73.22
99219 Hospital observation care, typically 50 minutes	13	13	$258.50	$136.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$396.76	$202.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	195	107	$74.82	$39.00
99221 Initial hospital inpatient care per day, typically 30 minutes	53	53	$194.12	$100.72
99238 Hospital discharge day management, 30 minutes or less	45	43	$139.12	$72.71
99291 Critical care, first 30-74 minutes	43	29	$503.72	$221.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	32	$140.30	$72.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$263.66	$135.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$210.84	$103.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$406.87	$201.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	211	113	$74.82	$38.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	64	$138.24	$71.33
99221 Initial hospital inpatient care per day, typically 30 minutes	65	63	$194.12	$98.91
99238 Hospital discharge day management, 30 minutes or less	61	61	$139.12	$70.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	35	$207.18	$101.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$263.66	$133.36
99291 Critical care, first 30-74 minutes	43	27	$494.25	$213.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$397.48	$193.50

Medical Specialties & State Licenses

CMS Verified: 2023-07-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD473071

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.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License NY 280606

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 57013474

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License VA 0101259863

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Hospital & Practice Group Affiliations

Susquehanna Physician Services

700 High St, Williamsport, PA 177013100

Phone: 5703211980

Roswell Park Cancer Institute

Elm And Carlton St, Buffalo, NY 142630001

Phone: 7168452300

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location April 14, 2022

Registered at 25 E BOSCAWEN ST STE 300, WINCHESTER, VA 226014799 (Tel: 7162624375)

📍

Updated Business Mailing Address April 14, 2022

Registered at 25 E BOSCAWEN ST STE 300, WINCHESTER, VA 226014799 (Tel: 7162624375)

📍

Updated Practice Location June 10, 2021

Registered at 190 CAMPUS BLVD STE 310, WINCHESTER, VA 226012872 (Tel: 5405360130)

📍

Updated Practice Location February 27, 2021

Registered at 1870 AMHERST ST, WINCHESTER, VA 226012873 (Tel: 5405360110)

📍

Updated Business Mailing Address February 27, 2021

Registered at 220 CAMPUS BLVD STE 100, WINCHESTER, VA 226012896 (Tel: 5405365100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2021

Internal Medicine (License #280606 in NY)

📍

Updated Practice Location September 18, 2020

Registered at ELM AND CARLTON STREETS, BUFFALO, NY 142630001 (Tel: 7168452300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Surgery (License #57013474 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Internal Medicine (License #280606 in NY)

✅

NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2007

Registered at 11100 EUCLID AVE, UNIVERSITY HOSPITALS OF CLEVELAND, CLEVELAND, OH 441065619 (Tel: 2168441000)

📍

Updated Business Mailing Address November 02, 2007

Registered at 2440 OVERLOOK RD, CLEVELAND HEIGHTS, OH 441065619 (Tel: 7167136138)

👤

Provider Name / Credentials Updated November 02, 2007

Recorded as JEFFREY CARTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Surgery (License #57013474 in OH)

🟢

Initial NPI Registration & Enumeration November 02, 2007

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: 1568641850

Entity Type:

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

Enumeration Date: November 02, 2007

Last Update: July 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25 E Boscawen St Ste 300

Winchester, VA 226014799

Phone: 7162624375

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.