2026 NPPES data Cardiovascular Disease Physician NPI 1164431755 PA
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ELISA CARTER, PA

Cardiovascular Disease Physician in CAMDEN, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 203 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2833/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$33.69
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELISA CARTER, PA is a Cardiovascular Disease Physician ([object Object]) practicing in CAMDEN, North Carolina with a Medicare Part D prescribing footprint of 4K claims across 203 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 93.2833/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $33.69 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELISA CARTER, PA reported a CMS MIPS final score of 93.2833 out of 100, above the 83.1 national average, and filed 4,084 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ELISA CARTER, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ELISA CARTER, PA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/05/2006

NPI 1164431755

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

4,084 35% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

93.2833/100 10.183300000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Cardiovascular Disease Physician compares to other specialties among North Carolina providers

North Carolina providers

Cardiovascular Disease Physician share within North Carolina

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within North Carolina

Medicare quality performance — MIPS

ELISA CARTER, PA's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
93.2833/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 93.2833/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Cardiovascular Disease Physician) — 93.2833/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ELISA CARTER, PA is a Cardiovascular Disease Physician provider practicing in CAMDEN, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1164431755. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELISA CARTER, PA appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding PA credentials at 100 PLANK BRIDGE RD, CAMDEN, NC, 27921, with a listed phone of (252) 331-1829. NPI 1164431755 was issued on 08/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARTER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,084 prescription claims written by this provider, covering 203 Medicare beneficiaries and totaling roughly $469K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.2833/100 for the 2023 performance year (Quality 100, Cost 77.611), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

100 PLANK BRIDGE RD
CAMDEN, NC 27921

Provider Details

NPI 1164431755
Specialty Cardiovascular Disease Physician
Credentials PA
Gender Female
NPI Issued 08/05/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.2833
Final Score
Avg: 83.1
100
Quality
77.611
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ELISA CARTER, PA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHESAPEAKE REGIONAL MEDICAL GROUP
MOYOCK, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ELISA CARTER, PA. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Inspire Medical Systems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

ELISA CARTER, PA — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,084 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,084
Total Claims
$469K
Total Drug Cost
203
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,573
Total Day Supply
251,468
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$400K
Generic Drug Cost
$67K
Opioid Claims
32 (0.8% rate)
Antibiotic Claims
102

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.22
Gender Split
62% female / 38% male
Age Distribution
<65: 34, 65-74: 109, 75-84: 49, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
185
Rosuvastatin Calcium
140
Metformin Hcl
129
Lisinopril
124
Levothyroxine Sodium
122
Gabapentin
106
Omeprazole
106
Amlodipine Besylate
102
Tamsulosin Hcl
94
Metoprolol Succinate
85

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How ELISA CARTER, PA fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ELISA CARTER, PA's 4,084 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as CARTER.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELISA CARTER, PA's specialty?
ELISA CARTER, PA specializes in Cardiovascular Disease Physician and practices in CAMDEN, North Carolina. Credentials: PA.
How much does ELISA CARTER, PA prescribe under Medicare Part D?
In 2023, ELISA CARTER, PA wrote 4,084 Medicare Part D claims totaling $469K in drug costs for 203 beneficiaries.
What is ELISA CARTER, PA's Medicare quality score?
ELISA CARTER, PA has a CMS MIPS Final Score of 93.2833/100 (Quality: 100, Cost: 77.611). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELISA CARTER, PA located?
ELISA CARTER, PA is located at 100 PLANK BRIDGE RD, CAMDEN, NC, 27921. Phone: (252) 331-1829.
What is ELISA CARTER, PA's NPI number?
ELISA CARTER, PA's National Provider Identifier (NPI) is 1164431755, issued on 08/05/2006.
Does ELISA CARTER, PA prescribe more brand-name or generic drugs?
ELISA CARTER, PA's prescribing is 13% brand-name and 87% generic drugs by claim count, with $400K in brand drug costs.
Does ELISA CARTER, PA prescribe opioids?
Yes, ELISA CARTER, PA had 32 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ELISA CARTER, PA prescribe most often?
Based on 2023 Medicare Part D data, ELISA CARTER, PA's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELISA CARTER, PA accept Medicare?
ELISA CARTER, PA appears in CMS Medicare data with 4,084 Part D claims and 203 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELISA CARTER, PA's credentials?
ELISA CARTER, PA's NPI is 1164431755 with credentials PA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology