CMS-1500 Box 24J / 33a • NPI
1972618312
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208800000X (CMS 34)
Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
Box 32 Service Location & ZIP+4
87 MEDICAL PARK DR STE A, BREVARD, NC, 28712-3210
✓ 9-Digit EDI 837 ZIP+4 (28712-3210)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972618312 (GREGORY EDWARD CARTER, MD) 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 #1972618312)
Medicare Beneficiaries
293
Total Billed Services
568
Distinct CPT/HCPCS Codes
29
Medicare Allowed Total
$72,246.42
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
51703 | Complicated insertion of bladder tube | 19 |
52332 | Insertion of stent in ureter using an endoscope | 27 |
99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 227 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 131 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Tamsulosin Hcl Tamsulosin Hcl | 16 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972618312 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GREGORY EDWARD CARTER, MD |
| Plain-English Specialty | Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) NUCC Code: 208800000X (Urology) |
| Certifying / Licensing Body | American Board of Urology (ABU) |
| Practice Location Address | 87 MEDICAL PARK DR STE A, BREVARD, NC, 28712-3210 |
| Practice Telephone / Fax | Tel: (828) 883-5858 | Fax: (828) 884-3339 |
| Administrative Mailing Address | 4205 BELFORT RD STE 4015, JACKSONVILLE, FL, 32216-3623 |
| Enumeration & Last Sync | Enumerated: 2006-08-19 | CMS Record Updated: 2021-06-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208800000X)
What Does Taxonomy Code 208800000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GREGORY EDWARD CARTER, MD)
Typical CPT / Diagnostic Procedures:- Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
- Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
- Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
- Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy
- Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
- 5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
- Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208800000X — UrologyPlain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) | State: FL | License: ME149607 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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