NPPES file of Aug 9, 2026

Andrea A. Carter, PA

Surgical Physician Assistant · Highland Park, IL

Andrea A. Carter, PA is a surgical physician assistant with a practice address in Highland Park, Illinois, and NPI 1700097300, issued on May 24, 2007. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1700097300
Name
Andrea A. Carter
Credential
PA
Primary taxonomy
Surgical Physician Assistant 363AS0400X
Practice location
767 Park Ave W, Highland Park, IL 60035
Phone
(847) 433-1060
Enumerated
May 24, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(847) 433-1399
Medicare enrollment
Enrolled (PECOS I20080205000664); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 767 Park Ave W

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Richard Adis, M.D.Obstetrics & Gynecology Physician1861411399
  2. Dori Becker, M.D.Obstetrics & Gynecology Physician1902826001
  3. Michael Binder, M.D.Psychologist1083632590
  4. Erica Dayan, M.D.Pediatrics Physician1013021286
  5. Daniel Eisenstein, M.D.Pediatrics Physician1609846815
  6. Jeffrey Garland, M.D.Internal Medicine Physician1477506483

Verify Andrea A. Carter in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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87% fewer Medicare Part D claims than the average surgical physician assistant in 2024

41 Medicare Part D claims for 37 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 36 claims were for opioids.

  1. Andrea Carter41
  2. Specialty average304

Most prescribed

  1. Tramadol Hcl21 claims
  2. Hydrocodone-Acetaminophen11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Endeavor Health Medical GroupEvanston, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrea A. Carter among 599 surgical physician assistant records in Illinois

Andrea A. Carter, PA is one of 599 surgical physician assistant records with a practice address in Illinois. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 18% of them.

  • NPI issued2007 · 18% of these records are older, 71% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated1999 · median 2016 among the 378 with a school on file
  • Record last updated2007 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 surgical physician assistant records list a practice address in Highland Park

They are 19 of the 882 NPPES records with a practice address in Highland Park, and 599 surgical physician assistant records in Illinois.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Nicole Fisch, PA-CHighland Park, IL 600351811494917
  2. Andrea Fonacier, PA-CHighland Park, IL 600351255831426
  3. Elizabeth Hindman, PA-C, MSHighland Park, IL 600351366758096
  4. Erin Kieny, PA-CHighland Park, IL 600351891325486
  5. Matthew Martinek, PA-CHighland Park, IL 600351881045862
  6. Melissa Modro, PA-CHighland Park, IL 600351104453638
  7. Rebecca Nishimoto, PA-CHighland Park, IL 600351073624664
  8. James O'Malley, PA-CHighland Park, IL 600351568849347

Common questions

What is Andrea A. Carter, PA's NPI number?

Andrea A. Carter, PA's National Provider Identifier (NPI) is 1700097300, issued on May 24, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Andrea A. Carter, PA located?

The NPPES record lists a practice address at 767 Park Ave W, Highland Park, IL, 60035. Phone: (847) 433-1060. Providers update this record themselves, so call before visiting.

How can I verify Andrea A. Carter, PA's license?

Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

How much does Andrea A. Carter, PA prescribe under Medicare Part D?

In 2024, Andrea A. Carter, PA had 41 Medicare Part D claims for 37 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.

What is Andrea A. Carter, PA's MIPS final score?

The 2023 MIPS final score is 93.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.