✓ Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation (208100000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

COLE CARTER (NPI #1972111896)

Physical Medicine & Rehabilitation • ORONO, ME • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972111896
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208100000X (CMS 25)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation
Box 32 Service Location & ZIP+4
84 KELLEY RD, ORONO, ME, 04473-3416
✓ 9-Digit EDI 837 ZIP+4 (04473-3416)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972111896 (COLE CARTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972111896)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Gabapentin
Gabapentin
18<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972111896 (NPI-1 Individual Practitioner)
Provider / Legal NameCOLE CARTER
Plain-English SpecialtyLicensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation
NUCC Code: 208100000X (Physical Medicine & Rehabilitation)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address84 KELLEY RD, ORONO, ME, 04473-3416
Practice Telephone / FaxTel: (207) 973-8998
Administrative Mailing Address84 KELLEY RD, ORONO, ME, 04473-3416
Enumeration & Last SyncEnumerated: 2020-07-16 | CMS Record Updated: 2025-06-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

84 KELLEY RD, ORONO, ME, 04473-3416

🗺️ Open in Google Maps 🏥 More Providers in ORONO

Plain-English Taxonomy & CMS Crosswalk (208100000X)

What Does Taxonomy Code 208100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COLE CARTER)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program
State: N/A | License: Verified | Primary: Secondary
208100000X — Physical Medicine & Rehabilitation
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation
State: ME | License: DO4056 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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