CARSON SHEARER D.O.
NPI 1093037087
Internal Medicine in Ardmore, OK

Active since February 18, 2010Opted out of Medicare · through Apr 11, 2028
20 12TH AVE NW, ARDMORE, OK 73401(580) 223-3411(580) 226-6213 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carson Shearer D.o. NPPES

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

CARSON SHEARER D.O. (NPI 1093037087) is an individual internal medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (5339) and active in the NPI registry since February 2010. He has opted out of Medicare through April 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093037087
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARSON SHEARERCredential: D.O.
Location Address20 12TH AVE NWArdmore, OK 73401-5722
Mailing Address20 12th Ave NwArdmore, OK 73401-5722 · (580) 223-3411 · Fax (580) 226-6213
Fax(580) 226-6213
Sole ProprietorNo
Enumeration DateFebruary 18, 2010
Last NPPES UpdateOctober 5, 2016
NPI 1093037087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 5339
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 5339 (OK)
20 12TH AVE NW, Ardmore, OK 73401

Other Identifiers 1

Medicaid200494610AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Carson Shearer D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2018 through April 11, 2028.

Opt-Out Effective DateApril 11, 2018
Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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 9

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

Physician Assistant (Medical)
20 12TH AVE NW
ARDMORE, OK 73401
Dentist
20 12TH AVE NW
ARDMORE, OK 73401
Internal Medicine
20 12TH AVE NW
ARDMORE, OK 73401
Social Worker
20 12TH AVE NW
ARDMORE, OK 73401
Clinic/Center (Federally Qualified Health Center (FQHC))
20 12TH AVE NW
ARDMORE, OK 73401
Pharmacy (Clinic Pharmacy)
20 12TH AVE NW
ARDMORE, OK 73401
Nurse Practitioner (Primary Care)
20 12TH AVE NW
ARDMORE, OK 73401
Family Medicine
20 12TH AVE NW
ARDMORE, OK 73401

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 Carson Shearer's NPI number?

The NPI number for Carson Shearer is 1093037087. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Carson Shearer located?

Carson Shearer practices at 20 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-3411.

What is Carson Shearer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carson Shearer enrolled in Medicare?

No. Carson Shearer has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carson Shearer was last updated on October 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.