KEN J. CARPENTER M.D.
NPI 1073726964
Orthopaedic Surgery in Springfield, MO

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 875-3800(417) 875-3177 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ken J. Carpenter M.d. NPPES

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

KEN J. CARPENTER M.D. (NPI 1073726964) is an individual orthopaedic surgery provider in Springfield, Missouri, licensed in Wisconsin (46072-020) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Oregon Health Sciences University School Of Medicine (2001).

NPPES Registry Identity

NPI1073726964
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEN J. CARPENTERCredential: M.D.
Location Address3555 S NATIONAL AVESpringfield, MO 65807-7310
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Fax(417) 875-3177
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2001
Enumeration DateMay 7, 2007
Last NPPES UpdateDecember 27, 2018
NPI 1073726964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 46072-020
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3555 S NATIONAL AVE, Springfield, MO 65807

Other Identifiers 2

Other2012011928MO · Mo License
Medicaid204188700MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ken J. Carpenter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325110406
PECOS Enrollment IDI20120720000379
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services77 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
68 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
49 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services41 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Cox Monett Hospital

Critical Access Hospitals · Monett, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261329
Location1000 E Us Highway 60Monett, MO 65708 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physical Medicine & Rehabilitation
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE, #302
SPRINGFIELD, MO 65807
Nurse Practitioner
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Physician Assistant (Medical)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Hand Surgery)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Foot and Ankle Surgery)
3555 S NATIONAL AVE, SUITE 100
SPRINGFIELD, MO 65807

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 Ken Carpenter's NPI number?

The NPI number for Ken Carpenter is 1073726964. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Ken Carpenter located?

Ken Carpenter practices at 3555 S National Ave, Springfield, MO 65807. The listed phone number is (417) 875-3800.

What is Ken Carpenter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ken Carpenter enrolled in Medicare?

Yes. Ken Carpenter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ken Carpenter affiliated with any hospitals?

According to CMS data, Ken Carpenter is affiliated with Cox Medical Centers, Cox Medical Center Branson and Cox Monett Hospital.

When was this NPI record last updated?

The NPPES record for Ken Carpenter was last updated on December 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.