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

Q: 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.

Q: What is Carly Cameron's specialty?

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

Q: 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 48 days 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.

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: July 26, 2026.

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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.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

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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