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Dr. Alexandre Rene Carter, MD, PHD

Accepting New Patients
Specializes in: Neurology (Brain & Spinal Cord Disease) and Physiatry (Physical Medicine & Rehabilitation)
Harvard Medical School (2003)
Professional interests include: traumatic brain injury, brain imaging (neuroimaging), rehabilitation, and more.
4921 Parkview Place Suite 6c
Saint Louis, MO 63110

Dr. Alexandre Rene Carter, MD, PHD is a neurologist in Saint Louis, MO specializing in neurology (brain & spinal cord disease) and physiatry (physical medicine & rehabilitation). He graduated from Harvard Medical School in 2003 and has 23 years of experience. Dr. Alexandre Rene Carter, MD, PHD is affiliated with WashU Medicine, BJC HealthCare, Barnes-Jewish Hospital, Washington University in St. Louis (WUSTL), The Rehabilitation Institute of St. Louis and WashU Medicine.

View Doctor's Full Profile (314) 362-4503

Office Locations

The Rehabilitation Institute of St. Louis

4921 Parkview Place Floor: 6, Suite: C
Saint Louis, MO 63110
(314) 362-7382
open_in_new

WashU Medicine

4921 Parkview Place Suite 6c
Saint Louis, MO 63110
(314) 362-4503
open_in_new

In The News 

“"Someone who is speaking and moving and looking the way he does has a very good long-term prognosis," said Dr. Alexandre Carter of Washington University in St. Louis, who specializes in neurologic...”—"Fetterman's doctor says he's recovering well from May stroke", Fox31 Denver, October 2022

Noteworthy Medicare Patient Procedures Performed by Dr. Alexandre Rene Carter, MD, PHD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Affordability:

hospital care
inpatient care
inpatient hospital care

In 2012, Dr. Alexandre Rene Carter, MD, PHD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2012 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 51
hospital care 397
inpatient care 397

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 59
hospital care 296
inpatient care 296

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 85
Female 91
Ethnicity
Non-Hispanic White 105
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 55
From 75 to 84 47
85 and over 17
Less than 65 57

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2013

Hypertension 75
High Cholesterol 65
Stroke 45
Ischemic Heart Disease 53
Depression 52
Chronic Kidney Disease 35
Asthma 10
Osteoperosis 9
Atrial Fibrilation 24
Heart Failure 31
Chronic Obstructive Pulmonary Disease 27
Diabetes 44
Dementia 22
Cancer 16

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 42
hospital care 425
inpatient care 425

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 90
Female 69
Ethnicity
Non-Hispanic White 97
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 59
From 75 to 84 35
85 and over 14
Less than 65 51

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2014

Hypertension 75
High Cholesterol 64
Stroke 46
Ischemic Heart Disease 53
Depression 52
Chronic Kidney Disease 45
Asthma 9
Osteoperosis 10
Atrial Fibrilation 21
Heart Failure 33
Chronic Obstructive Pulmonary Disease 18
Diabetes 47
Dementia 25
Cancer 16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 58
hospital care 332
inpatient care 332

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 184
Female 152
Ethnicity
Non-Hispanic White 196
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 132
From 75 to 84 62
85 and over 34
Less than 65 108

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2015

Hypertension 75
High Cholesterol 70
Stroke 57
Ischemic Heart Disease 48
Depression 51
Chronic Kidney Disease 50
Asthma 17
Osteoperosis 7
Atrial Fibrilation 18
Heart Failure 32
Chronic Obstructive Pulmonary Disease 20
Diabetes 44
Dementia 20
Cancer 14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 69
hospital care 197
inpatient care 197

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 62
Female 58
Ethnicity
Non-Hispanic White 72
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 43
From 75 to 84 30
85 and over 11
Less than 65 36

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2016

Hypertension 75
High Cholesterol 67
Stroke 53
Ischemic Heart Disease 47
Depression 38
Chronic Kidney Disease 44
Asthma 29
Osteoperosis 0
Atrial Fibrilation 24
Heart Failure 38
Chronic Obstructive Pulmonary Disease 22
Diabetes 38
Dementia 28
Cancer 10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 98
hospital care 448
inpatient care 448

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 91
Female 79
Ethnicity
Non-Hispanic White 112
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 49
From 75 to 84 35
85 and over 20
Less than 65 66

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2017

Hypertension 74
High Cholesterol 58
Stroke 55
Ischemic Heart Disease 42
Depression 44
Chronic Kidney Disease 43
Asthma 12
Osteoperosis 8
Atrial Fibrilation 22
Heart Failure 30
Chronic Obstructive Pulmonary Disease 19
Diabetes 36
Dementia 29
Cancer 12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 140
hospital care 512
inpatient care 512

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 102
Female 89
Ethnicity
Non-Hispanic White 122
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 60
From 75 to 84 42
85 and over 16
Less than 65 73

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2018

Hypertension 73
High Cholesterol 59
Stroke 50
Ischemic Heart Disease 39
Depression 42
Chronic Kidney Disease 43
Asthma 8
Osteoperosis 8
Atrial Fibrilation 18
Heart Failure 26
Chronic Obstructive Pulmonary Disease 21
Diabetes 39
Dementia 33
Cancer 9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 148
hospital care 406
inpatient care 406

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 108
Female 70
Ethnicity
Non-Hispanic White 127
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 59
From 75 to 84 36
85 and over 15
Less than 65 68

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2019

Hypertension 70
High Cholesterol 58
Stroke 40
Ischemic Heart Disease 42
Depression 37
Chronic Kidney Disease 43
Asthma 10
Osteoperosis 10
Atrial Fibrilation 17
Heart Failure 31
Chronic Obstructive Pulmonary Disease 18
Diabetes 37
Dementia 28
Cancer 8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 85
hospital care 228
inpatient care 228

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 77
Female 58
Ethnicity
Non-Hispanic White 98
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 46
From 75 to 84 29
85 and over 13
Less than 65 47

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2020

Hypertension 74
High Cholesterol 59
Stroke 51
Ischemic Heart Disease 36
Depression 43
Chronic Kidney Disease 36
Asthma 0
Osteoperosis 0
Atrial Fibrilation 15
Heart Failure 29
Chronic Obstructive Pulmonary Disease 10
Diabetes 37
Dementia 32
Cancer 10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 121
hospital care 226
inpatient care 226

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 85
Female 54
Ethnicity
Non-Hispanic White 106
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 46
From 75 to 84 0
85 and over 0
Less than 65 50

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2021

Hypertension 66
High Cholesterol 63
Stroke 42
Ischemic Heart Disease 36
Depression 38
Chronic Kidney Disease 43
Asthma 9
Osteoperosis 8
Atrial Fibrilation 16
Heart Failure 22
Chronic Obstructive Pulmonary Disease 14
Diabetes 35
Dementia 28
Cancer 12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

doctor visit 140
hospital care 210
inpatient care 210

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 86
Female 66
Ethnicity
Non-Hispanic White 120
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 56
From 75 to 84 39
85 and over 16
Less than 65 41

Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD in 2022

Hypertension 75
High Cholesterol 75
Stroke 55
Ischemic Heart Disease 28
Depression 36
Chronic Kidney Disease 22
Asthma 11
Osteoperosis 15
Atrial Fibrilation 20
Heart Failure 19
Chronic Obstructive Pulmonary Disease 20
Diabetes 30
Dementia 16
Cancer 12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Alexandre Rene Carter, MD, PHD for Medicare patients.

The highest averages for the top procedures that Dr. Alexandre Rene Carter, MD, PHD treated as a neurologist in Saint Louis, MO were hospital care and inpatient care.

doctor visit 91
hospital care 334
inpatient care 334

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD.

Gender
Male 88
Female 71
Ethnicity
Black / African American 0
Asian / Pacific Islander 0
Non-Hispanic White 105
Hispanic 0
Native American / Alaskan Native 0
Other 0
Age
75 to 84 32
85 and over 14
Less than 65 54
65 to 74 55

Average of Total of Conditions of Medicare patients treated by Dr. Alexandre Rene Carter, MD, PHD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Alexandre Rene Carter, MD, PHD treated were hypertension, high cholesterol, stroke and depression.

Hypertension 66
High Cholesterol 58
Stroke 44
Ischemic Heart Disease 38
Depression 39
Chronic Kidney Disease 36
Asthma 10
Osteoporosis 6
Heart Failure 26
Chronic Obstructive Pulmonary Disease 17
Diabetes 35
Atrial Fibrillation 17
Cancer 10
Dementia 23

Education & Training

Dr. Alexandre Rene Carter, MD, PHD graduated from Harvard Medical School in 2003. He completed residency at Barnes-Jewish Hospital. He is certified by the Neurology and has a state license in Missouri.

Medical School: Harvard Medical School (2003)

Residency: Barnes-Jewish Hospital (2007)

Board Certification: Neurology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Alexandre Rene Carter, MD, PHD is associated with these hospitals and organizations:

WashU Medicine
BJC HealthCare
Barnes-Jewish Hospital
Washington University in St. Louis (WUSTL)
The Rehabilitation Institute of St. Louis
WashU Medicine

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Alexandre Rene Carter, MD, PHD appears to accept the following insurance providers: CIGNA Flexcare, MultiPlan, MHBP, United Healthcare Select Plus, United Healthcare Select, United Healthcare PPO, United Healthcare POS, Great-West Healthcare Open Access, United Healthcare EPO, United Healthcare Choice Plus, United Healthcare Choice, Blue Choice, Aetna QPOS, Great-West Healthcare POS, Great-West Healthcare PPO, Health Alliance HMO, Aetna Open Access HMO, Great-West Healthcare HMO, Rockport Healthcare Group, Hannibal Regional PHO, Aetna Medicare HMO, TRICARE, Decatur Memorial Hospital, Coventry, Anthem, Best Doctors, Aetna Managed Choice POS, Aetna Select, Aetna Choice POS, Aetna HMO, CIGNA Open Access POS, Aetna US Access, CIGNA Open Access Plus HMO, Aetna National Advantage Program, Coventry HMO, CIGNA Network, CIGNA PPO, MO HealthNet, CIGNA POS, CIGNA HMO, CorVel, CIGNA EPO, Aetna Medicare PPO, Aetna Open Access Managed Choice, Aetna Open Access Elect Choice, Aetna Choice POS II, AARP, Medicare Advantage, TriWest, Blue Cross Blue Shield Missouri - Regular or Traditional, CoxHealth, Coventry PPO, Coventry National Network PPO, USA Managed Care Organization, Health Alliance POS, Health Alliance PPO, United Healthcare, United Healthcare Navigate, Medicare, Medicaid, Quality Health Management, Humana, Cigna, First Health, HealthLink PPO, Beech Street, HealthLink POS, HealthLink Open Access, HealthLink HMO, Aetna Elect Choice, HFN, United Healthcare Community Plan (AmeriChoice), Community Partners Health Plans, CIGNA Open Access Plus POS, Blue Cross Blue Shield of Illinois, CIGNA Network Open Access, CIGNA PPO Plus, Private Healthcare Systems (PHCS), Care Management Resources (CMR), Aetna Affordable Health Choice PPO, Advantra Option 1 HMO/POS (Aetna Medicare), Union Pacific Railroad Employee Health System, Freedom Plus PPO-Missouri (Aetna Medicare), Aetna CVS Health (MO Marketplace Exchange), Freedom PPO-Missouri (Aetna Medicare), Aetna Open Choice (PPO), Aetna Medicare Open Access POS, Health Alliance Medicare POS, Kansas Advantra Freedom PPO (Aetna Medicare), VA HealthCare Choice Program, BJC Center of Excellence - Consociate Health, Verify Insurance Acceptance With Practice, Illinois Department of Public Aid (IDPA/HFS), Advantra Silver HMO (Aetna Medicare), Advantra PPO (Aetna Medicare), Essence Advantage HMO, Health Alliance (IL Marketplace Exchange), HealthScope Benefits, Inn (Orscheln Industries Health Plan), Gold Advantage (Aetna Medicare), Aetna Health Network, Essence Advantage Select HMO, Advantra Complete PPO Illinois (Aetna Medicare), Aetna Health Network Option, BJC HealthSolutions, Aetna Medicare Open Access HMO, Health Alliance Medicare HMO, Advantra Option 2 HMO (Aetna Medicare), Essence Advantage Plus HMO and Gold Dual Core HMO Missouri (Aetna Medicare).

Insurance Accepted by Provider includes:

According to our sources, Dr. Alexandre Rene Carter, MD, PHD accepts the following insurance providers:

CIGNA Flexcare
MultiPlan
MHBP
United Healthcare Select Plus
United Healthcare Select
United Healthcare PPO
United Healthcare POS
Great-West Healthcare Open Access
United Healthcare EPO
United Healthcare Choice Plus
United Healthcare Choice
Blue Choice
Aetna QPOS
Great-West Healthcare POS
Great-West Healthcare PPO
Health Alliance HMO
Aetna Open Access HMO
Great-West Healthcare HMO
Rockport Healthcare Group
Hannibal Regional PHO
Aetna Medicare HMO
TRICARE
Decatur Memorial Hospital
Coventry
Anthem
Best Doctors
Aetna Managed Choice POS
Aetna Select
Aetna Choice POS
Aetna HMO
CIGNA Open Access POS
Aetna US Access
CIGNA Open Access Plus HMO
Aetna National Advantage Program
Coventry HMO
CIGNA Network
CIGNA PPO
MO HealthNet
CIGNA POS
CIGNA HMO
CorVel
CIGNA EPO
Aetna Medicare PPO
Aetna Open Access Managed Choice
Aetna Open Access Elect Choice
Aetna Choice POS II
AARP
Medicare Advantage
TriWest
Blue Cross Blue Shield Missouri - Regular or Traditional
CoxHealth
Coventry PPO
Coventry National Network PPO
USA Managed Care Organization
Health Alliance POS
Health Alliance PPO
United Healthcare
United Healthcare Navigate
Medicare
Medicaid
Quality Health Management
Humana
Cigna
First Health
HealthLink PPO
Beech Street
HealthLink POS
HealthLink Open Access
HealthLink HMO
Aetna Elect Choice
HFN
United Healthcare Community Plan (AmeriChoice)
Community Partners Health Plans
CIGNA Open Access Plus POS
Blue Cross Blue Shield of Illinois
CIGNA Network Open Access
CIGNA PPO Plus
Private Healthcare Systems (PHCS)
Care Management Resources (CMR)
Aetna Affordable Health Choice PPO
Advantra Option 1 HMO/POS (Aetna Medicare)
Union Pacific Railroad Employee Health System
Freedom Plus PPO-Missouri (Aetna Medicare)
Aetna CVS Health (MO Marketplace Exchange)
Freedom PPO-Missouri (Aetna Medicare)
Aetna Open Choice (PPO)
Aetna Medicare Open Access POS
Health Alliance Medicare POS
Kansas Advantra Freedom PPO (Aetna Medicare)
VA HealthCare Choice Program
BJC Center of Excellence - Consociate Health
Verify Insurance Acceptance With Practice
Illinois Department of Public Aid (IDPA/HFS)
Advantra Silver HMO (Aetna Medicare)
Advantra PPO (Aetna Medicare)
Essence Advantage HMO
Health Alliance (IL Marketplace Exchange)
HealthScope Benefits, Inn (Orscheln Industries Health Plan)
Gold Advantage (Aetna Medicare)
Aetna Health Network
Essence Advantage Select HMO
Advantra Complete PPO Illinois (Aetna Medicare)
Aetna Health Network Option
BJC HealthSolutions
Aetna Medicare Open Access HMO
Health Alliance Medicare HMO
Advantra Option 2 HMO (Aetna Medicare)
Essence Advantage Plus HMO
Gold Dual Core HMO Missouri (Aetna Medicare)

Ratings & Reviews

Dr. Alexandre Rene Carter, MD, PHD has an exceptional overall rating with an average of 4.88 out of 5 stars based on 10 ratings. We collect ratings and reviews of Dr. Alexandre Rene Carter, MD, PHD from all over the web to help you find the right in Saint Louis, MO. 

4.88
Overall Rating
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General Payments

These charts describe general payments received by Dr. Alexandre Rene Carter, MD, PHD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Allergan Inc. $49 BOTOX
$49
AbbVie Inc. $25 QULIPTA
$25
Biohaven Pharmaceuticals, Inc. $12 NURTEC ODT
$12
Types of Payments
Food and Beverage $86

Biography

Dr. Alexandre Carter, who practices in Saint Louis, MO, is a medical specialist in physiatry (physical medicine & rehabilitation) and neurology (brain & spinal cord disease). Dr. Carter speaks French. In his practice, Dr. Carter focuses on brain imaging (neuroimaging), traumatic brain injury, and stroke rehabilitation. He is affiliated with WashU Medicine and Barnes-Jewish Hospital. After attending Harvard Medical School, he completed his residency training at Barnes-Jewish Hospital. Dr. Carter's average rating from his patients is 5.0 stars (out of 5). Anthem, Blue California, and Coventry appears to be the insurance carriers that Dr. Carter takes. According to BJC HealthCare, he is currently accepting new patients at his office in Saint Louis, MO.

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