2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1811968688 MD
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TY CARTER, MD

Orthopaedic Surgery of the Spine Physician in AIKEN, South 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
2K
Medicare Part D claims · 512 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.2587/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.2K
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TY CARTER, MD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in AIKEN, South Carolina with a Medicare Part D prescribing footprint of 2K claims across 512 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 75.2587/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TY CARTER, MD reported a CMS MIPS final score of 75.2587 out of 100, below the 83.1 national average, and filed 2,057 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)

TY CARTER, MD 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).

TY CARTER, MD at a glance

Below national average

NPI registry status

Active

Issued 01/30/2006

NPI 1811968688

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

2,057 468% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

75.2587/100 7.84129999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Carolina

How Orthopaedic Surgery of the Spine Physician compares to other specialties among South Carolina providers

South Carolina providers

Orthopaedic Surgery of the Spine Physician share within South Carolina

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within South Carolina

Medicare quality performance — MIPS

TY CARTER, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
75.2587/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 75.2587/100 vs national avg 83.1

0%100%National avg83%75.3%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 75.2587/100 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).

TY CARTER, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in AIKEN, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1811968688. 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.

TY CARTER, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 410 UNIVERSITY PKWY, AIKEN, SC, 29801, with a listed phone of (803) 644-4264. NPI 1811968688 was issued on 01/30/2006. 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 2,057 prescription claims written by this provider, covering 512 Medicare beneficiaries and totaling roughly $26K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 21.1%. 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 75.2587/100 for the 2023 performance year (Quality 55.5613), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

410 UNIVERSITY PKWY
AIKEN, SC 29801

Provider Details

NPI 1811968688
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 01/30/2006

CMS Quality Score (MIPS)

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

75.2587
Final Score
Avg: 83.1
55.5613
Quality
99
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where TY CARTER, MD 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.

AUGUSTA ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS, PC
AUGUSTA, GA

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 TY CARTER, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Medtronic, 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 · Generic-heavy

TY CARTER, MD — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,057 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.

2,057
Total Claims
$26K
Total Drug Cost
512
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,217
Total Day Supply
43,725
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$5K
Generic Drug Cost
$21K
Opioid Claims
435 (21.1% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.18
Gender Split
63% female / 37% male
Age Distribution
<65: 87, 65-74: 237, 75-84: 157, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
349
Gabapentin
310
Methylprednisolone
247
Methocarbamol
212
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
164
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
123
Pregabalin
119
Tramadol Hcl
100
Celecoxib
68
Tizanidine Hcl
66

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

Orthopaedic Surgery of the Spine Physician Overview

How TY CARTER, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

TY CARTER, MD's 2,057 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in South Carolina

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TY CARTER, MD's specialty?
TY CARTER, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in AIKEN, South Carolina. Credentials: MD.
How much does TY CARTER, MD prescribe under Medicare Part D?
In 2023, TY CARTER, MD wrote 2,057 Medicare Part D claims totaling $26K in drug costs for 512 beneficiaries.
What is TY CARTER, MD's Medicare quality score?
TY CARTER, MD has a CMS MIPS Final Score of 75.2587/100 (Quality: 55.5613). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TY CARTER, MD located?
TY CARTER, MD is located at 410 UNIVERSITY PKWY, AIKEN, SC, 29801. Phone: (803) 644-4264.
What is TY CARTER, MD's NPI number?
TY CARTER, MD's National Provider Identifier (NPI) is 1811968688, issued on 01/30/2006.
Does TY CARTER, MD prescribe more brand-name or generic drugs?
TY CARTER, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $5K in brand drug costs.
Does TY CARTER, MD prescribe opioids?
Yes, TY CARTER, MD had 435 opioid claims in 2023 with an opioid prescribing rate of 21.1%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does TY CARTER, MD prescribe most often?
Based on 2023 Medicare Part D data, TY CARTER, MD's most frequently prescribed drugs include Meloxicam, Gabapentin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TY CARTER, MD accept Medicare?
TY CARTER, MD appears in CMS Medicare data with 2,057 Part D claims and 512 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TY CARTER, MD's credentials?
TY CARTER, MD's NPI is 1811968688 with credentials MD. 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