Individual provider Active NPI

Leslie Ann Carter, MD

  • Dermatology Physician
  • Bend, OR
National Provider Identifier
1730168014
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD25131 Issued in OR
Practice address
325 SW Upper Terrace Dr
Suite 100
Bend, OR 97702-1900
Phone
(541) 330-0900
Fax
(541) 312-5739
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD25131 OR Primary

Addresses

Primary practice location

325 SW Upper Terrace Dr
Suite 100
Bend, OR 97702-1900

Mailing address

325 SW Upper Terrace Dr
Suite 100
Bend, OR 97702-1900
Phone (541) 330-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041008000050 OR Practitioner - Dermatology 3274592811 Reassigns benefits to 2 organizations
I20240325001062 TX Practitioner - Dermatology 3274592811

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leslie a Carter MD LLCGroup PAC ID 9133188923, 3 clinicians

Practice addresses (Care Compare)

325 SW Upper Terrace Dr
Suite 100
Bend, OR 97702-1900
Phone (541) 330-0900

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions478
Removal or shaving of skin growth114
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25131ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie a. Carter M.D., LLC Dermatology CurrentSince Sep 27, 2004 Accepting new patients
Active Wound Healing Dermatology Past Accepting new patients

Locations

325 SW Upper Terrace Dr
Bend, OR 97702

325 SW Upper Terrace Dr
Ste 100
Bend, OR 97702
Phone (541) 330-0900

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00337

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1730168014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW UPPER TERRACE DR",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021900",
            "telephone_number": "541-330-0900",
            "fax_number": "541-312-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW UPPER TERRACE DR",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021900",
            "telephone_number": "541-330-0900",
            "fax_number": "541-312-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD25131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.