CARL LEE OVERMILLER MD
NPI 1255394300
Surgery in Ripley, WV

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
122 PINNELL ST, RIPLEY, WV 25271(304) 373-0133(304) 373-1598 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carl Lee Overmiller Md NPPES

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

CARL LEE OVERMILLER MD (NPI 1255394300) is an individual surgery provider in Ripley, West Virginia, licensed in West Virginia (17934) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1255394300
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCARL LEE OVERMILLERCredential: MD
Location Address122 PINNELL STRipley, WV 25271-9101
Mailing AddressPo Box 587Ripley, WV 25271-0587 · (304) 373-0133 · Fax (304) 373-0497
Fax(304) 373-1598
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateApril 10, 2006
Last NPPES UpdateJanuary 28, 2010
NPI 1255394300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WV · 17934
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

122 PINNELL ST, Ripley, WV 25271

Other Identifiers 12

Medicare ID-Type UnspecifiedOV0771843WV
Other2243174WV · Cigna
Medicaid2697550OH
Medicaid010299772VA
Other794702WV · First Health
Other57898WV · Unicare
Other000787284WV · Mountain Bcbs
Other437312WV · Carelink
Other4539316WV · Aetna
Medicare UPINF92057WV
Medicaid1801280000WV
Medicare PIN0V0771843WV

Accepted 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

Carl Lee Overmiller Md 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 ID4981614112
PECOS Enrollment IDI20060502000469
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.

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25271 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…
97%208 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery
122 PINNELL ST
RIPLEY, WV 25271
Emergency Medicine
122 PINNELL ST
RIPLEY, WV 25271
Emergency Medicine
122 PINNELL ST
RIPLEY, WV 25271
Emergency Medicine
122 PINNELL ST
RIPLEY, WV 25271
Pharmacist
122 PINNELL ST
RIPLEY, WV 25271
Physical Therapist
122 PINNELL ST
RIPLEY, WV 25271
Physical Therapist
122 PINNELL ST
RIPLEY, WV 25271
Nurse Anesthetist, Certified Registered
122 PINNELL ST
RIPLEY, WV 25271

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 Carl Overmiller's NPI number?

The NPI number for Carl Overmiller is 1255394300. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Carl Overmiller located?

Carl Overmiller practices at 122 Pinnell St, Ripley, WV 25271. The listed phone number is (304) 373-0133.

What is Carl Overmiller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carl Overmiller enrolled in Medicare?

Yes. Carl Overmiller 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.

What insurance does Carl Overmiller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Carl Overmiller 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.

Is Carl Overmiller affiliated with any hospitals?

According to CMS data, Carl Overmiller is affiliated with Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Carl Overmiller was last updated on January 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.