DR. JOHN CAUDELL CARSON D.O.
NPI 1164425575
Family Medicine in Richland, MO

Q: What is John Carson's NPI number?

The NPI number for John Carson is 1164425575. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is John Carson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Carson was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 31, 2005PECOS EnrolledAccepts Medicare Assignment

304 W WASHINGTON AVE, RICHLAND, MO 65556(877) 406-2662(573) 723-1474 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Feb 2, 2023 (2 updates tracked since 2023).

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About Dr. John Caudell Carson D.o. NPPES

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

DR. JOHN CAUDELL CARSON D.O. (NPI 1164425575) is an individual family medicine provider in Richland, Missouri, licensed in Louisiana (DO.000127) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and maintains a secondary practice location in Camdenton.

NPPES Registry Identity

NPI1164425575

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHN CAUDELL CARSONCredential: D.O.

Location Address304 W WASHINGTON AVERichland, MO 65556-7101

Mailing Address304 W Washington AveRichland, MO 65556-7101 · (877) 406-2662 · Fax (573) 814-6177

Phone(877) 406-2662

Fax(573) 723-1474

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1994

Enumeration DateMay 31, 2005

Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1164425575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in LA · DO.000127✔ Licensed in MO · 2024028733

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

304 W WASHINGTON AVE, Richland, MO 65556

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Secondary Practice Location 1

Location 130 Lakeview DriveCamdenton, MO 65020 · Phone (573) 814-6580

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Dr. John Caudell Carson D.o. 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 ID1052355690

PECOS Enrollment IDI20240813002224

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.

Hospital Affiliations CMS Care Compare

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65556 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

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

LISA KING FNP

Nurse Practitioner (Family)