Medicare Enrolled

Dr. Timothy Carter, M.D.

Surgery · West Islip, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1111 MONTAUK HWY STE 3-3, West Islip, NY 11795
6313766185
In practice since 2010 (16 years)
NPI: 1720304074 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 →
Are you Dr. Carter? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Carter

Dr. Timothy Carter is a surgery specialist in West Islip, NY, with 16 years of NPI registration. Based on federal Medicare data, Dr. Carter performed 304 Medicare services across 302 unique beneficiaries.

Between the years covered by Open Payments, Dr. Carter received a total of $14,276 from 26 pharmaceutical and/or device companies across 166 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. 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.

✓ 16 years in practice ▲ Top 35% volume in NY $14,276 industry payments

Medicare Practice Summary

Medicare Utilization ↗
304
Medicare services
Top 35% in NY for surgery
302
Unique beneficiaries
$371
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~19 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
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
49 $49 $181
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
47 $160 $591
Coronary artery bypass graft, 1 artery
Surgical procedure to bypass a blocked coronary artery using a graft from another artery. This restores blood flow to the heart muscle.
37 $1,608 $6,935
New patient office visit, complex (60-74 min) 37 $201 $623
Endoscopic vein harvest
A surgical procedure to remove a vein using an endoscope, which is a thin, lighted tube inserted through small incisions.
34 $16 $60
Transcatheter aortic valve replacement via femoral artery
A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery.
28 $749 $4,454
Coronary artery bypass graft, 2 grafts
A surgical procedure to restore blood flow to the heart by creating bypasses using two vein or artery grafts.
21 $398 $1,524
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
17 $75 $236
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.
12 $121 $332
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
11 $159 $459
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.
11 $151 $487
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.
28.3% high complexity
0.0% medium
71.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$14,276
Total received (2018-2024)
Avg $2,039/year across 7 years
Top 12% in NY for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
166
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
$12,881 (90.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,395 (9.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,291
2023
$2,415
2022
$2,773
2021
$828
2020
$1,707
2019
$3,015
2018
$1,247

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,128
Artivion, Inc.
$398
Kestra Medical Technology Services, Inc.
$300
Edwards Lifesciences Corporation
$298
ATRICURE, INC.
$61
Cook Medical LLC
$45
Janssen Pharmaceuticals, Inc
$45
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$16
Top 3 companies account for 79.7% of 2024 payments
All-time payments by company (2018-2024) ›
Artivion, Inc.
$3,352
Medtronic Vascular, Inc.
$2,783
Edwards Lifesciences Corporation
$1,885
Medtronic, Inc.
$1,567
CryoLife, Inc.
$1,552
W. L. Gore & Associates, Inc.
$596
Abbott Laboratories
$413
Kestra Medical Technology Services, Inc.
$396
ATRICURE, INC.
$282
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$234
Novartis Pharmaceuticals Corporation
$190
Janssen Pharmaceuticals, Inc
$188
ABIOMED
$180
Cook Medical LLC
$155
Philips Electronics North America Corporation
$111
EKOS Corporation
$97
AtriCure, Inc.
$61
Terumo Cardiovascular Systems Corporation
$53
ZIMVIE INC.
$38
Bolton Medical Inc
$30
LeMaitre Vascular, Inc.
$25
Baxter Healthcare
$23
BAXTER HEALTHCARE
$21
Allergan Inc.
$16
Zimmer Biomet Holdings, Inc.
$14
Chiesi USA, Inc.
$13
Top 3 companies account for 56.2% of all-time payments
Associated products mentioned in payments ›
3F · AMDS-Ascyrus Medical · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2) · ATRICURE SYNERGY ABLATION SYSTEM · AVEIR · Assure WCD · BioSet · CLEVIPREX · COOK · COREVALVE EVOLUT R · CRYOVALVE SG PULMONARY HUMAN HEART VALVE · Cardiac non-SynerGraft · CoreValve Evolut · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EKOSONIC · ENDURANT IIS · ENTRESTO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Endurant · GORE TAG Thoracic Branch Endoprosthesis · GORE TAG Thoracic Endoprosthesis · INSPIRIS RESILIA aortic valve · Impella · KONECT RESILIA · LifeVest · MITRACLIP · MITRIS RESILIA Mitral Valve · MOSAIC · Mitra Clip system · MitraClip System · Mosaic · NAMZARIC · PATCH · PLEDGET AND INTRACARDIAC · Relay Grafts · Relay Plus · SAPIEN 3 Ultra RESILIA · STERNALOCK BLU SYSTEM · SYNERGY ABLATION SYSTEM · TACHOSIL · TYKE · Trilogy 100 · VALIANT CAPTIVIA · Valiant Captivia · Vascutek · Virtuosaph · XARELTO
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 (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a surgery specialist in West Islip?
Compare surgerists in the West Islip area by procedure volume, costs, and industry payment transparency.
Browse surgerists nearby

Geographic Context

Surgerists within 10 mi
334
Per 100K population
21.9
County median income
$128,329
Nearest hospital
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
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 moderate Medicare volume, with low-engagement industry engagement in the top 12% of NY peers, with 16 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 home health plan of care certification?
Based on Medicare claims data, Dr. Carter performed 49 home health plan of care certification 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 $14,276 from 26 companies across 166 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 surgerists in West Islip?
Dr. Carter's average Medicare payment per service is $371. 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 →