Active NPI
Travis S Carter, DPM
- Podiatrist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO630
- Practice address
- 3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718 - Phone
- (509) 585-3622
- Fax
- (509) 585-3624
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO630 | WA | Primary |
Addresses
Primary practice location
3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718
Mailing address
3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718
Phone (509) 585-3622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125685 | Other | WA | LI |
| 480027205 | Other | RR MEDICARE | |
| 1106152 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3730 Plaza Way
Suite 6500
Kennewick, WA 99338-2718
7301 W Deschutes Ave
Suite C
Kennewick, WA 99336-7799
Phone (509) 585-3622
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.15 of 100
- Quality
- 92.31
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 582 |
| Removal or shaving of skin growth | 297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO630 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot and Ankle Clinic PC | Podiatrist | Current | Accepting new patients |
Locations
7301 W Deschutes Ave
Ste C
Kennewick, WA 99336
Phone (509) 585-3622
320 W 10th Ave
Ste 104
Kennewick, WA 99336
Phone (509) 542-1000
3730 Plaza Way
Ste 6500
Kennewick, WA 99338
Phone (509) 585-3622
Interoperability endpoints
- traviscarter@advfootankleclinic.direct.emds.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Kennewick, WA
- NPI 1720137904
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1134288533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 PLAZA WAY STE 6500",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382718",
"telephone_number": "509-585-3622",
"fax_number": "509-585-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 PLAZA WAY STE 6500",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382718",
"telephone_number": "509-585-3622",
"fax_number": "509-585-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TRAVIS",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LI",
"identifier": "125685",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480027205",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106152",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.