Dr. Anthony Thomas Carter, MD

  • Newport News, VA
  • Orthopedic surgeon
NPI1982673380PAC ID8123093010
Medicare services, 2024
9,550
Medicare patients, 2024
1,058
Part D claims, 2024
910
MIPS score, 2024
73
Hospital affiliations
5
Practice address
730 Thimble Shoals Blvd, Newport News, VA 23606
Practice phone
Call (757) 223-5700
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Hampton Roads Urgent Care

Urgent Care Center · Newport News, Virginia

See all 17 affiliations

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Dr. Anthony Thomas Carter is an orthopedic surgeon in Newport News, Virginia

Dr. Carter practices at Hampton Roads Urgent Care in Newport News, Virginia.

Dr. Carter's NPI, 1982673380, was assigned on March 16, 2006. Dr. Carter graduated from Boston University School Of Medicine in 1987. Dr. Carter holds Virginia license 0101051812.

NPI and contact details
Medicare PAC ID
8123093010
NPI enumeration date
March 16, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(757) 223-5700
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
65
Medical school graduation
1987

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Anthony Thomas Carter practices at Hampton Roads Urgent Care in Newport News, Virginia

Dr. Carter's primary practice is Hampton Roads Urgent Care, at 730 Thimble Shoals Blvd, Newport News, VA 23606. The practice phone is (757) 223-5700.

  • Hampton Roads Urgent Care
    730 Thimble Shoals Blvd, Newport News, VA 23606Phone(757) 223-5700

Source: Dmand AI Affiliation Data

Dr. Anthony Thomas Carter is affiliated with 15 sites of care and 2 medical groups

Dr. Carter's primary practice is Hampton Roads Urgent Care in Newport News, Virginia. Dr. Carter is also affiliated with Riverside Regional Medical Center. The medical group on file is Hampton Roads Orthopaedics Spine & Sports Medicine. Dmand AI also links Dr. Carter to 4 more hospitals, 5 home health agencies, 2 group practices and clinics, 1 imaging center, 1 therapy and rehab clinic and 1 medical group, each named with a free account. Dr. Carter's employer is on file too: an urgent care center.

See all 17 affiliations for Dr. Carter

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Anthony Thomas Carter's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Carter practices, 15 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hampton Roads Urgent CareAvailable with a free account
+14 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Anthony Thomas Carter is one of 498 orthopedic surgeons in Virginia

Orthopaedic surgery is Dr. Carter's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Carter is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Carter's licenses on file in 2 states: Virginia and New York.

Specialties and state licenses

  • Orthopaedic surgery, VirginiaPrimaryLicense 0101051812 · 1994 to 2026 · taxonomy 207X00000X
  • New York license1988 to 1994

Clinical focus

Dmand AI lists arthritis, bursitis, carpal tunnel syndrome, hip replacement, joint pain, knee arthroscopy, knee fracture and dislocation and knee replacement among the conditions Dr. Carter treats.

Orthopedic surgeons near Dr. Carter

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Anthony Thomas Carter billed Medicare for 9,550 services in 2024

CMS data shows 9,550 Medicare services from Dr. Carter across 27 procedure codes in 2024, for 1,058 Medicare patients. Medicare paid $490,911 for them.

Medicare services, 20249,550
Medicare patients1,058
Paid by Medicare$490,911
Procedure codes27

Dr. Carter's Medicare services by type, 2024

  1. Drugs given in the office6,109
  2. Imaging1,008
  3. Office and hospital visits857
  4. Surgery763
  5. Tests and treatments689
  6. Other services124

Where Dr. Carter's Medicare services took place, 2024

  • In an office9,22997%
  • In a facility3213%

Dr. Carter compared with the Virginia median for orthopedic surgeons, 2024

  • Dr. Carter
  • Virginia median
Medicare services
9,550vs 1,1708.2 times
Medicare patients
1,058vs 3702.9 times
Part D claims
834vs 1216.9 times

Medians across 475 orthopedic surgeons in Virginia with Dmand AI profiles that report each measure.

Dr. Carter's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Carter

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Anthony Thomas Carter treated 1,058 Medicare patients in 2024, average age 75

CMS counts 1,058 Medicare patients who saw Dr. Carter in 2024. The largest group is 65 to 74, with 526 patients. 75% of them have arthritis, and 75% have high blood pressure. Their average risk score is 0.92, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Carter's median patient age at 71, with 61% women.

Medicare patients, 20241,058
Average age75
Average risk score0.92

Dr. Carter's Medicare patients by age, 2024

Dr. Carter's Medicare patients by sex, 2024

  • Women64961%
  • Men40939%

Chronic conditions among Dr. Carter's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes27%
  5. Mood disorders21%
  6. Depression18%
  7. Ischemic heart disease18%
  8. Anxiety17%

Share of Medicare patients with each condition. A patient can have several.

Dr. Carter's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 71

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Anthony Thomas Carter wrote 910 Medicare Part D claims in 2024

In 2024, Dr. Carter wrote 910 Medicare Part D claims for 441 patients. 100% of them were for generic drugs. CMS names the drug for 834 of them, across 12 drugs with 11 or more claims each, at $4,980 in total drug cost.

Part D claims, 2024910
Drugs named by CMS12
Total drug cost$4,980
Part D patients441

Dr. Carter's Part D claims by kind of drug, 2024

  • Generic907 claims100%
  • Brand-name and other3 claims0%

Dr. Carter's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Carter's Part D claims, 2024

  • Opioids29%268 of 910 claims
  • Antibiotics27%242 of 910 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Dr. Carter

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Anthony Thomas Carter scored 73 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 73 out of 100 for Dr. Carter for performance year 2024, reported individually. Dr. Carter accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 218 procedures of knee replacement by Dr. Carter, more than 99% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Carter's MIPS scores, performance year 2024

  • 73of 100Final score
  • 57.1of 100Quality
  • 79of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 71of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Carter ranks in Medicare procedure volume

Knee replacement
99th percentile218 procedures
Hip replacement
99th percentile146 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Anthony Thomas Carter received $79,314 in industry payments from 2024 to 2025

CMS Open Payments shows 74 general payments to Dr. Carter from 10 drug and device companies from 2024 to 2025. Royalties and licenses make up the largest share, 80% of the total. Signature Orthopaedics USA Corp paid the most, $37,713.

General payments to Dr. Carter by program year, 2024 to 2025

General payments to Dr. Carter by kind, 2024 to 2025

$79.3Kin total
  • Royalties and licenses$63,69680%
  • Consulting fees$8,00010%
  • Travel and lodging$6,2488%
  • Food and beverage$1,3702%

Companies that paid Dr. Carter the most, 2024 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Carter

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Anthony Thomas Carter has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Carter, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Carter

  1. 2013
    • CMS Stage 1 EHR
  2. 2012
    • Super Doc

Source: Dmand AI Professional Profile Data

Dr. Anthony Thomas Carter graduated from Boston University School Of Medicine

Dr. Carter graduated from Boston University School Of Medicine in 1987. Dr. Carter is a member of AOA, AAOS and AAHKS.

  1. Medical schoolBoston University School Of Medicine
  2. Board certified in orthopaedic surgeryAmerican Board of Orthopaedic Surgery

Source: Dmand AI Professional Profile Data

Dr. Anthony Thomas Carter accepts plans from 12 insurance carriers

Dr. Carter is in network with 12 carriers, including Aetna, Excellus BlueCross BlueShield and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Excellus BlueCross BlueShield
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Humana
  • Regence Health Plans
  • +4 more carriersWith a free account

Plan types Dr. Carter accepts, by number of carriers

  1. Medicare9
  2. PPO9
  3. HMO4
  4. POS4
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Anthony Thomas Carter's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Anthony Thomas Carter

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Anthony Thomas Carter's NPI number?

Dr. Anthony Thomas Carter's NPI number is 1982673380. It was assigned on March 16, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Anthony Thomas Carter?

Dr. Anthony Thomas Carter is an orthopedic surgeon in Newport News, Virginia. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Anthony Thomas Carter practice?

Dr. Carter practices at 730 Thimble Shoals Blvd, Newport News, VA 23606. Dr. Carter's primary practice is Hampton Roads Urgent Care in Newport News, Virginia. Dmand AI also links Dr. Carter to 4 hospitals, 5 home health agencies, 2 group practices and clinics, 1 imaging center, 1 therapy and rehab clinic and 1 medical group.

What is Dr. Anthony Thomas Carter's office phone number?

The practice phone on file for Dr. Carter is (757) 223-5700.

What is Dr. Anthony Thomas Carter's medical license number?

Dr. Carter holds Virginia license 0101051812, one of the licenses on file in 2 states.

Which states has Dr. Anthony Thomas Carter been licensed in?

Dmand AI has state licenses on file for Dr. Carter in Virginia (1994 to 2026) and New York (1988 to 1994).

Which hospitals is Dr. Anthony Thomas Carter affiliated with?

Dr. Carter is affiliated with Riverside Regional Medical Center. Dmand AI links Dr. Carter to 4 more hospitals.

What medical group is Dr. Anthony Thomas Carter part of?

Dr. Carter is linked to Hampton Roads Orthopaedics Spine & Sports Medicine. Dmand AI links Dr. Carter to 1 more medical group.

Does Dr. Anthony Thomas Carter accept Medicare?

Yes. CMS data shows Dr. Carter billed Medicare for 9,550 services in 2024, and Dr. Carter accepts Medicare assignment.

What is Dr. Anthony Thomas Carter's MIPS score?

Dr. Carter's MIPS final score for performance year 2024 is 73 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Anthony Thomas Carter see?

CMS counts 1,058 Medicare patients who saw Dr. Carter in 2024, with an average age of 75.

Is Dr. Anthony Thomas Carter board certified?

Yes. Dr. Carter is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery.

What services does Dr. Anthony Thomas Carter bill to Medicare?

In 2024, Dr. Carter's most billed Medicare services were injected or infused drug (J3301), injected or infused drug (J7329) and injected or infused drug (J7332).

Where did Dr. Anthony Thomas Carter go to medical school?

Dr. Carter graduated from Boston University School Of Medicine in 1987.

What drugs does Dr. Anthony Thomas Carter prescribe most?

In 2024 Medicare Part D data, Dr. Carter's most prescribed drugs by claims were Meloxicam, Amoxicillin and Oxycodone HCl.

Has Dr. Anthony Thomas Carter received payments from drug or device companies?

CMS Open Payments shows $79,314 in general payments to Dr. Carter from 10 companies from 2024 to 2025. The largest total came from Signature Orthopaedics USA Corp.

How long has Dr. Anthony Thomas Carter been practicing?

Dr. Carter graduated from medical school in 1987, 39 years ago.

What insurance does Dr. Anthony Thomas Carter accept?

Dr. Carter is in network with 12 carriers, including Aetna, Excellus BlueCross BlueShield and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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