Thomas J. Carter, DO, PHD
NPI 1649464439ActiveIndividual· Family Medicine· Wheatfield, IN
Family Medicine (DO, PHD) with Porter Physician Services LLC and 2 other groups, practicing in Wheatfield, Indiana. Their prescriptions cost Medicare Part D more than their services did: $73,170 for 1,092 claims, against $8,484 paid for services in 2024. Inspire Medical Systems, Inc. was the largest of 8 companies reporting payments in 2025, $213.12 in all, mostly food and beverage. Lists Franciscan Health Crown Point and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1649464439 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO, PHD |
| Sole proprietor | Yes |
| NPI issued | Sep 5, 2007 |
| Last updated in NPPES | Jan 27, 2026 |
| Certified by provider | Jan 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 02008626A | IN |
| General Practice | 208D00000X | 49159 | CO |
| Family Medicine | 207Q00000X | DR.0049159 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CO); Practitioner - Family Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 140 across 28 procedure codes |
| Paid by Medicare | $8,484 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,092 · 2,207 30-day fills |
|---|---|
| Patients | 162 |
| Total drug cost | $73,170 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Porter Physician Services LLCValparaiso, IN · 99 clinicians
- La Porte Clinic Company LLCKnox, IN · 69 clinicians
- Trinidad Area Health AssociationTrinidad, CO · 27 clinicians
Hospital affiliations
- Franciscan Health Crown PointCrown Point, IN
- Franciscan Health Rensselaer, IncRensselaer, IN
- Mt San Rafael HospitalTrinidad, CO
- Northwest Health - PorterValparaiso, IN
- Northwest Health-La PorteLa Porte, IN
Other facilities
- Clinical Home Health CareHome health agency · Demotte, IN
- Elara CaringHome health agency · Valparaiso, IN
- Oak Grove Christian Retirement VillageNursing home · Demotte, IN
Industry payments (Open Payments)
- 2025$213.12 · 10 payments from 8 companies
- 2024$519.83 · 25 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $38.96 | 1 |
| Novo Nordisk Inc | $33.47 | 2 |
| Merck Sharp & Dohme LLC | $30.01 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28.88 | 1 |
| Abbvie Inc. | $26.13 | 1 |
What the 2025 payments were for
- Food and Beverage$213.12 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Wheatfield
- 1265467476