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CARLY LYNN CAMERON DMD
NPI 1043145451
Dentist - General Practice in Cape Girardeau, MO

Active since June 16, 2026PECOS Enrolled
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0808 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carly Lynn Cameron Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY LYNN CAMERON DMD (NPI 1043145451) is an individual general practice provider in Cape Girardeau, Missouri, licensed in Missouri (2026027398) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois Univ School Of Dental Medicine (2026).

NPPES Registry Identity

NPI1043145451
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCARLY LYNN CAMERONCredential: DMD
Location Address408 S BROADVIEW STCape Girardeau, MO 63703-5725
Mailing Address808 Eagle DrJackson, MO 63755-3224
Phone(573) 332-0808
Sole ProprietorNo
Medical School CMSSouthern Illinois Univ School Of Dental MedicineGraduated 2026
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1043145451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2026027398
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
408 S BROADVIEW ST, Cape Girardeau, MO 63703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Lynn Cameron Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850856246
PECOS Enrollment IDI20260716001806
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carly Cameron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cross Trails Medical Center
Same address
Federally Qualified Health Center (FQHC)
408 S BROADVIEW ST
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 22 clinicians in this Medicare group
NPI 1356393268 (573) 332-0808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLENE L MINTON DMD
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
MRS. ANITA N SMITH RD
Dietitian, Registered
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
ASHLEY LIPKE RN, CDE
Registered Nurse (Diabetes Educator)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
MITRA NEJAT-BINA DDS
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 339-1196
TRACEY D COOLEY
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
LOUIS H ROHLFS DDS
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
NANCY K JOHNSON FNP
Nurse Practitioner
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
MCKENZIE SHIRLEY
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-4753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Cameron's NPI number?

The NPI number for Carly Cameron is 1043145451. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Carly Cameron located?

Carly Cameron practices at 408 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 332-0808.

What is Carly Cameron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carly Cameron enrolled in Medicare?

Yes. Carly Cameron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Cameron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Cameron reassigns Medicare benefits to Cross Trails Medical Center (Cape Girardeau, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Cameron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Cameron accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Carly Cameron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Cameron was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.