Medicare Enrolled

Dr. Karen Carter, MD

Pediatric Cardiology · Augusta, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1303 D'ANTIGNAC STREET, Augusta, GA 30901
7063960600
In practice since 2006 (19 years)
NPI: 1255441994 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Carter from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Carter

Dr. Karen Carter is a pediatric cardiology specialist in Augusta, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Carter performed 387 Medicare services across 239 unique beneficiaries.

Between the years covered by Open Payments, Dr. Carter received a total of $6,620 from 33 pharmaceutical and/or device companies across 370 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pediatric cardiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Carter is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 387 Medicare services $6,620 industry payments

Medicare Practice Summary

Medicare Utilization ↗
387
Medicare services
1.0× state median for pediatric cardiology
239
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~20 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
185 $67 $150
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
89 $87 $190
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
39 $9 $45
Tuberculosis skin test
A small amount of fluid is injected under the skin to check for a reaction that indicates exposure to tuberculosis bacteria.
25 $4 $20
Developmental test administration, first hour
A healthcare professional administers a standardized test to evaluate a patient's developmental progress. This service covers the initial hour of the testing session.
25 $69 $180
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
24 $8 $30
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,620
Total received (2018-2024)
Avg $946/year across 7 years
Top 50% in GA for pediatric cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
370
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,620 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,766
2023
$1,381
2022
$1,010
2021
$1,473
2020
$355
2019
$153
2018
$482

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Supernus Pharmaceuticals, Inc.
$417
Neurelis, Inc.
$351
UCB, Inc.
$213
IRONSHORE PHARMACEUTICALS INC.
$192
ACADIA Pharmaceuticals Inc
$190
Corium, LLC
$134
Baxter Healthcare
$87
JAZZ PHARMACEUTICALS INC.
$86
Tris Pharma Inc
$72
Biogen, Inc.
$25
Top 3 companies account for 55.5% of 2024 payments
All-time payments by company (2018-2024) ›
Neurelis, Inc.
$1,139
Supernus Pharmaceuticals, Inc.
$1,093
Ironshore Pharmaceuticals Inc.
$816
UCB, Inc.
$593
Corium, LLC
$374
PFIZER INC.
$299
Neos Therapeutics, LP
$257
Tris Pharma Inc
$208
IRONSHORE PHARMACEUTICALS INC.
$192
Baxter Healthcare
$190
ACADIA Pharmaceuticals Inc
$190
AQUESTIVE THERAPEUTICS, INC.
$175
AstraZeneca Pharmaceuticals LP
$125
Greenwich Biosciences, Inc.
$125
Electromed, Inc.
$118
Advanced Respiratory, Inc
$103
Adlon Therapeutics L.P.
$101
Takeda Pharmaceuticals U.S.A., Inc.
$90
JAZZ PHARMACEUTICALS INC.
$86
Sunovion Pharmaceuticals Inc.
$76
Vertical Pharmaceuticals, LLC
$41
Shire North American Group Inc
$32
Biogen, Inc.
$25
Corium, Inc.
$25
OWP Pharmaceuticals, Inc.
$24
USWM, LLC
$20
Novo Nordisk Inc
$18
Wilmington Medical Supply, Inc.
$15
ARBOR PHARMACEUTICALS, INC.
$15
Amneal Pharmaceuticals LLC
$14
Saol Therapeutics Inc.
$14
Medtronic USA, Inc.
$13
Zogenix Inc.
$13
Top 3 companies account for 46.0% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · APTIOM · AZSTARYS · Adzenys XR-ODT · Azstarys · Briviact · COTEMPLA XR-ODT · DAYBUE · Dyanavel XR · EPIDIOLEX · EUCRISA · Epidiolex · Fintepla · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · LYVISPAH · Lioresal (baclofen) · METHYLPHENIDATE 72 · Nayzilam · Onyda XR · Otovel · QELBREE · QUILLICHEW ER · Qelbree · RELEXXII · SMARTVEST · SPINRAZA · SUBVENITE · SYMJEPI · SYMPAZAN · SYNAGIS · SYNCHROMED · Saxenda · The Vest System Model 105 Home Care · The VisiVest Airway Clearance System · VALTOCO · VYVANSE · Vimpat · Vyvanse
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a pediatric cardiology specialist in Augusta?
Compare pediatric cardiologists in the Augusta area by procedure volume, costs, and industry payment transparency.
Browse pediatric cardiologists nearby

Geographic Context

Pediatric cardiologists within 10 mi
1
Per 100K population
0.5
County median income
$53,197
Nearest hospital
PIEDMONT AUGUSTA HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Carter is a clinical cardiology specialist, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Carter experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Carter performed 185 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Carter receive payments from pharmaceutical companies?
Yes. Dr. Carter received a total of $6,620 from 33 companies across 370 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Carter's costs compare to other pediatric cardiologists in Augusta?
Dr. Carter's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Carter) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →