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James B Carter, MD

Family Practice · San Francisco

NPI 1760845143

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Office
1
Since medical school
10 years
Graduated 2016

Offices

1 location · One Medical Group Inc · 330 clinicians in this group

Looking this up.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Carter’s office at (888) 663-6331 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A170291 · Current

Licensed to practise in California · since 2020 · expires 2026-09-30 · Wake Forest School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$6,805

Medicare paid this office $6,805 for 55 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit20$1,493$50
Short return visit (20+ min)20$1,326$63
Return visit (30+ min)12$1,315$101
Insertion of needle into vein for collection of blood sample14$130$9

Who their Medicare patients are

55 Original Medicare patients in 2024. Average age 72 · Women 36% · Health risk score 0.88. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 55%.

The office billed $46,489, Medicare allowed $9,431 and paid $6,805; for 122 services of 21 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202455122720.88$46,489$6,805
20233589700.69$28,964$4,865
20222986700.52$24,105$4,528
20213253680.74$14,886$2,898

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Short return visit23$1,701$52
Short return visit (20+ min)13$1,450$85

2022: 2 services

Original Medicare services billed in 2022
Short return visit (20+ min)11$1,592$88
Short return visit19$1,377$47

2021: 1 service

Original Medicare services billed in 2021
Short return visit19$1,032$52

Drugs they prescribed that Part D paid

$44,909

Pharmacies billed $44,909 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 234) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

202 generic and 32 brand-name prescriptions · $44,909 in drug cost · 16 antibiotic prescriptions to 14 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Testosterone Cypionate11$195$18
Zolpidem13$58$4
Atorvastatin16$18$1

Year by year

Part D prescribing by year
2024234410% (0)14%$44,909
2023153350% (0)None$3,434
20228622NoneNone$2,725
202121110% (0)None$359
2020932715% (14)None$3,850
20191544211% (17)None$10,326
201818345NoneNone$13,602
20177228NoneNone$2,654
20164514NoneNone$1,443

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Zolpidem11$43$4

2022: 1 drug

Part D drugs prescribed in 2022
Levothyroxine11$93$8

2019: 1 drug

Part D drugs prescribed in 2019
Omeprazole15$116$8

2018: 1 drug

Part D drugs prescribed in 2018
Amlodipine Besylate11$49$4

Money from drug and device companies

$24 in 2025

A payment is not proof that care is biased.

Payments by company
PfizerPaxlovid$24
1 payment
  • Meals for Paxlovid · 2025-12-08 · $24
See the published payment
Every published payment
PfizerMeals · 2025-12-08Paxlovid$24

Professional record

NPI
1760845143
Licence
CA A170291, MA 266988California A170291: Current · expires 2026-09-30
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
1 Embarcadero Ctr Ste 1900, San Francisco, CA, 94111
NPI first listed
2016-04-01
NPI last updated
2020-09-30
NPI record certified
2020-09-30

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: Msc09 50401 University of New Mexico, Albuquerque, NM, 87131 · 4199 Washington St, Roslindale, MA, 02131