NPPES file of Aug 9, 2026

Donald Phillip Carter, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Merced, CA

Donald Phillip Carter, M.D. is a plastic surgery within the head & neck (otolaryngology) physician with a practice address in Merced, California, and NPI 1083634364, issued on Jul 20, 2006. Check the license (California G70792, as entered in NPPES) on the Medical Board of California; 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
1083634364
Name
Donald Phillip Carter
Credential
M.D.
Primary taxonomy
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
License number
G70792 CA
Self-reported in NPPES; status is on the state search
Practice location
3351 M St Ste 205, Merced, CA 95348
Phone
(209) 724-0501
Enumerated
Jul 20, 2006
Record last updated
Oct 23, 2025
Fax
(209) 724-0602
Medicaid ID
00G707920 CA
Medicare enrollment
Enrolled (PECOS I20051013000952); accepts Medicare assignment
Medical or professional school
University Of Kansas School Of Med (Kc/Wich/Sal), 1991
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 3351 M St Ste 205

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

  1. Mary HollandHearing Instrument Specialist1417163684
  2. Kathryn Stewart, MAAudiologist1063766608

Verify Donald Phillip Carter in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G70792
    Check 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
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.9 times the Medicare Part D claims of the average plastic surgery within the head & neck (otolaryngology) physician in 2024

1,148 Medicare Part D claims for 326 beneficiaries, against an average of 393 among the 492 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims. 19 claims were for opioids.

  1. Donald Carter1,148
  2. Specialty average393

Most prescribed

  1. Levothyroxine Sodium494 claims
  2. Azelastine Hcl147 claims
  3. Fluticasone Propionate127 claims
  4. Famotidine90 claims
  5. Synthroid65 claims
  6. Liothyronine Sodium35 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): 87.5 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 score72.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  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).

Industry payments in 2024: $95.54

6 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 388 providers of this specialty with any payment received $1,454.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Donald Carter$95.54
  2. Specialty average$1,454.84

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Dignity Health Medical FoundationMerced, CA

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

Donald Phillip Carter among 150 plastic surgery within the head & neck (otolaryngology) physician records in California

Donald Phillip Carter, M.D. is one of 150 plastic surgery within the head & neck (otolaryngology) physician records with a practice address in California. 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 2006, is newer than 5% of them.

  • NPI issued2006 · 5% of these records are older, 43% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated1991 · median 1995 among the 81 with a school on file
  • Record last updated2025 · 76% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207YX0007X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in California

There are 150 plastic surgery within the head & neck (otolaryngology) physician records in California.

The 8 plastic surgery within the head & neck (otolaryngology) physician records with the nearest ZIP codes

  1. Jeffery Broffman, M.D.Santa Rosa, CA 954051659543247
  2. John Ryan, MDSan Jose, CA 951241518402676
  3. Ngon Dinh, DOSan Jose, CA 951161730156027
  4. Andrew Pichler, MDCarmichael, CA 956081083798797
  5. Scott Hong, MDSanta Clara, CA 950511952891871
  6. Camille Huwyler, M.D.Woodland, CA 956951407387467
  7. Arthur Fenn, MDGreenbrae, CA 949041043378409
  8. Shoab Siddique, M.D.Sacramento, CA 958161972614436

Common questions

What is Donald Phillip Carter, M.D.'s NPI number?

Donald Phillip Carter, M.D.'s National Provider Identifier (NPI) is 1083634364, issued on Jul 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Donald Phillip Carter, M.D. located?

The NPPES record lists a practice address at 3351 M St Ste 205, Merced, CA, 95348. Phone: (209) 724-0501. Providers update this record themselves, so call before visiting.

How can I verify Donald Phillip Carter, M.D.'s license?

NPPES lists California license number G70792, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Donald Phillip Carter, M.D. prescribe under Medicare Part D?

In 2024, Donald Phillip Carter, M.D. had 1,148 Medicare Part D claims for 326 beneficiaries; the average among plastic surgery within the head & neck (otolaryngology) physician prescribers was 393. Part D covers Medicare prescriptions only.

What is Donald Phillip Carter, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.5 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.