DR. MARGARET F CARTER M.D.
NPI 1396705554
Obstetrics & Gynecology - Maternal & Fetal Medicine in Huntsville, AL
NPI Status: Active since March 23, 2006
Contact Information
910 ADAMS ST SE
SUITE 100
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 265-0880
- Individual
- Female
- Years of Experience 28
- Obstetrics & Gynecology
- Maternal & Fetal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARGARET CARTER
This page provides the complete NPI Profile along with additional information for Margaret Carter, a women's health care provider established in Huntsville, Alabama with a medical specialization in Obstetrics & Gynecology, focusing in maternal & fetal medicine and more than 28 years of experience. She graduated from Louisiana State University School Of Medicine In New Orleans in 1998. The healthcare provider is registered in the NPI registry with number 1396705554 assigned on March 2006. The practitioner's primary taxonomy code is 207VM0101X with license number 32493 (AL). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1396705554
- Provider Name
- DR. MARGARET F CARTER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 910 ADAMS ST SE SUITE 100 HUNTSVILLE, AL 35801
- Location Phone
- (256) 265-0880
- Mailing Address
- PO BOX 2705 HUNTSVILLE, AL 35804
- Mailing Phone
- (256) 265-0880
- Mailing Fax
- Medical School Name
- LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 04-03-2018
- Code Navigator
Women's health care providers like Margaret Carter treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Maternal & Fetal Medicine
- Taxonomy Code
- 207VM0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32493
- License State
- AL
- Taxonomy Description
- An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 46973 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Margaret Carter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Margaret Carter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7719956192
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130701000066
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 37 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.57 for a new patient copayment and $16.52 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 35801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.31
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $30.57
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.08
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $16.52
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 9 | 6 | 7 | 0 | 5 | 5 | 5 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 18 | 6 | 14 | 0 | 10 | 5 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 1 + 0 + 5 + 1 + 0 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1396705554 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1013901107 | SHARON L CALLISON MD Individual | Obstetrics & Gynecology | 910 ADAMS ST SE #200 HUNTSVILLE, AL 35801 (256) 265-6512 |
1164481073 | DR. KAREN G RAIFORD M.D. Individual | Obstetrics & Gynecology | 910 ADAMS ST SE SUITE 200 HUNTSVILLE, AL 35801 (256) 265-6512 |
1780641795 | JOHN DAVID WHEELER M.D. Individual | Obstetrics & Gynecology | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1104883800 | GREGG ARTHUR DELISLE M.D. Individual | Obstetrics & Gynecology | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1851478796 | DR. CAROLYN L. RUSSO MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 910 ADAMS ST SE SUITE 310 HUNTSVILLE, AL 35801 (256) 265-5833 |
1184781023 | ELIZABETH TEUBERT CRNP Individual | Nurse Practitioner | 910 ADAMS ST SE SUITE 200 HUNTSVILLE, AL 35801 (256) 265-6512 |
1437296860 | JACQUITA L SAMECK C.R.N.P. Individual | Nurse Practitioner (Women's Health) | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1790823169 | HALLIE KATHLEEN HILL C.R.N.P. Individual | Nurse Practitioner (Women's Health) | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1427196294 | PAMALA H FAIRCLOUGH C.R.N.P. Individual | Nurse Practitioner (Obstetrics & Gynecology) | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1184755910 | CLINIC FOR WOMEN, P.A. Organization | Advanced Practice Midwife | 910 ADAMS ST SE SUITE 300 HUNTSVILLE, AL 35801 (256) 533-7420 |
1740461177 | DAVID J GRAY PC Organization | Plastic Surgery | 910 ADAMS ST SE SUITE 130 HUNTSVILLE, AL 35801 (256) 265-7957 |
1831356559 | EDMONSON AESTHETIC FACIAL SURGERY LLC Organization | Ophthalmology | 910 ADAMS ST SE SUITE 130 HUNTSVILLE, AL 35801 (256) 265-6344 |
1346532611 | JASON R. MILLER, D.M.D., M.D., P.C. Organization | Dentist (Oral and Maxillofacial Surgery) | 910 ADAMS ST SE STE. 215 HUNTSVILLE, AL 35801 (256) 265-4950 |
1740593284 | STEADMAN MCPETERS Organization | Clinic/Center | 910 ADAMS ST SE SUITE 220 HUNTSVILLE, AL 35801 (256) 265-1800 |
1750360939 | DR. JAMES CHRISTOPHER GILBERT MD Individual | Surgery (Pediatric Surgery) | 910 ADAMS ST SE SUITE 220 HUNTSVILLE, AL 35801 (256) 265-1800 |
1336135268 | DR. BRENDA C MILLER EDMONSON MD Individual | Ophthalmology | 910 ADAMS ST SE SUITE 130 HUNTSVILLE, AL 35801 (256) 265-6344 |
1902888738 | DR. RICHARD P RICHARDSON MD Individual | Surgery | 910 ADAMS ST SE SUITE 130 HUNTSVILLE, AL 35801 (256) 265-7966 |
1083039671 | LAURA HARRIS CRNP Individual | Nurse Practitioner (Family) | 910 ADAMS ST SE SUITE 110 HUNTSVILLE, AL 35801 (256) 265-7896 |
1104005677 | DR. SONYA WALKER M.D. Individual | Surgery (Pediatric Surgery) | 910 ADAMS ST SE STE 220 HUNTSVILLE, AL 35801 (256) 265-1800 |
1902150873 | STEPHANIE PAIGE DRIELING CRNP Individual | Nurse Practitioner (Pediatrics) | 910 ADAMS ST SE SUITE 220 HUNTSVILLE, AL 35801 (256) 265-1800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396705554, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 910 Adams St Se Suite 100 Huntsville, Al 35801 and the phone number is (256) 265-0880
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VM0101X with a focus in Maternal & Fetal Medicine
The provider has more than 28 years of experience. She graduated from Louisiana State University School Of Medicine In New Orleans in 1998.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.31 with an average copayment of $30.57 for new patient appointments. Established patients should expect a typical charge of $66.08 and an average copayment of 16.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Automated urinalysis test.
This NPI record was last updated on March 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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