MR. ROBERT JOLES CARTER II CRNA
NPI 1639657844
Nurse Anesthetist, Certified Registered in Roanoke, VA

NPI Status: Active since July 31, 2018

Contact Information

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 853-0222

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  • Individual
  • Male
  • Years of Experience 8
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About ROBERT CARTER

This page provides the complete NPI Profile along with additional information for Robert Carter, a provider established in Roanoke, Virginia with a medical specialization in Nurse Anesthetist, Certified Registered and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1639657844 assigned on July 2018. The practitioner's primary taxonomy code is 367500000X with license number 0024186530 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1639657844
Provider Name
MR. ROBERT JOLES CARTER II CRNA
Gender
Male
Entity Type
Individual
Location Address
1906 BELLEVIEW AVE SE ROANOKE, VA 24014
Location Phone
(540) 853-0222
Mailing Address
213 S JEFFERSON ST STE 1006 ROANOKE, VA 24011
Mailing Phone
(540) 224-5352
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
07-31-2018
Last Update Date
03-15-2023
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Location Map

Secondary Locations

  • 130 W Ravine Rd
    Kingsport, TN 37660
    (423) 224-4000

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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0024186530
License State
VA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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)
1163W00000XNursing Service Providers

Registered Nurse

0000194178 (TN)
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

121451 (TN)

Medicare Participation & PECOS Enrollment Status

Robert 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.

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.

  • PECOS PAC ID: 5799108726

    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: I20200709002731

    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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $17.52 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 24014 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.04
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $32.26
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.08
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $17.52
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Carter is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNSON CITY MEDICAL CENTER400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
(423) 431-6111Acute Care Hospitals
FRANKLIN WOODS COMMUNITY HOSPITAL300 MED TECH PARKWAY
JOHNSON CITY, TN 37604
(423) 302-1120Acute Care Hospitals

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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.
1639657844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691251488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 5 + 1 + 4 + 8 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639657844 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
1437158474DR. WILLIAM GRIFFIN PRICE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7273
1598751109 SARA L NICELY PA-C
Individual
Physician Assistant (Medical)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1457349243 GARY D HAHN CRNA
Individual
Nurse Anesthetist, Certified Registered1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1336139310MR. MOHAMMAD NASEEM MD
Individual
Radiology (Diagnostic Radiology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1861483174 WILLIAM H CRAGUN MD
Individual
Internal Medicine (Pulmonary Disease)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1477544799 RICHARD BUTLER D.O.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1447232087 GRACE ANN DZIDO M.D.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1659353209 JAMES B FRANKO M.D.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1780660241 CAROL M GILBERT M.D.
Individual
Surgery1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1942286927 STEVEN E SOMMER M.D.
Individual
Internal Medicine (Critical Care Medicine)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1073583225 ROBERT A FRANKLIN PA
Individual
Physician Assistant1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1255304150DR. SHELBY C DICKERSON MD
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7618
1013981810 KIRSHAN K TAYAL MD
Individual
Surgery1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7544
1427027838DR. KERRY ALEXANDER POWELL M.D.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE CRMH DEPARTMENT OF EMERGENCY MEDICINE
ROANOKE, VA 24014
(540) 853-0824
1093776643 JOHN R LUCAS JR. D.O.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1720041833 JOHN K EVETT M.D.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1366405128 JANE I. BELCHER CRNA
Individual
Nurse Anesthetist, Certified Registered1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 400-1982
1871557058MRS. JACKIE BRATTON MARTIN RNC, MS, NNP
Individual
Nurse Practitioner (Neonatal)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8124
1407812373DR. ROBERT EARL BUDIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7273
1598721367 KENNETH GERGELY CRNA
Individual
Nurse Anesthetist, Certified Registered1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639657844, enumerated in the NPI registry as an "individual" on July 31, 2018

The provider is located at 1906 Belleview Ave Se Roanoke, Va 24014 and the phone number is (540) 853-0222

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 8 years of experience.

Medicare beneficiaries should expect a typical cost of $129.04 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): JOHNSON CITY MEDICAL CENTER and FRANKLIN WOODS COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 31, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.