ERIC MATTHEW CARRILLO MD
NPI 1265090146
Hospitalist in Joplin, MO

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
1102 W 32ND ST, JOPLIN, MO 64804(417) 347-4570 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Jun 5, 2019 (2 updates tracked since 2019).

About Eric Matthew Carrillo Md NPPES

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

ERIC MATTHEW CARRILLO MD (NPI 1265090146) is an individual hospitalist provider in Joplin, Missouri, licensed in Missouri (2022020215) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Susan B Allen Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265090146
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameERIC MATTHEW CARRILLOCredential: MD
Location Address1102 W 32ND STJoplin, MO 64804-3503
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-4662
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
NPI 1265090146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · 2022020215
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1102 W 32ND ST, Joplin, MO 64804

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

Eric Matthew Carrillo 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 ID2769714153
PECOS Enrollment IDI20220804003593, I20241024001220
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
588 services240 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
110 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services68 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
50 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Susan B Allen Memorial Hospital

Acute Care Hospitals · El Dorado, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170017
Location720 W Central StEl Dorado, KS 67042 · Butler County
Emergency services Birthing friendly

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
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.

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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

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.

Internal Medicine (Gastroenterology)
1102 W 32ND ST
JOPLIN, MO 64804
Internal Medicine (Critical Care Medicine)
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Registered Nurse (Medical-Surgical)
1102 W 32ND ST
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
1102 W 32ND ST
JOPLIN, MO 64804
Radiology (Diagnostic Radiology)
1102 W 32ND ST
JOPLIN, MO 64804
Hospitalist
1102 W 32ND ST
JOPLIN, MO 64804
Speech-Language Pathologist
1102 W 32ND ST
JOPLIN, MO 64804

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 Eric Carrillo's NPI number?

The NPI number for Eric Carrillo is 1265090146. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Eric Carrillo located?

Eric Carrillo practices at 1102 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-4570.

What is Eric Carrillo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Eric Carrillo enrolled in Medicare?

Yes. Eric Carrillo 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 Eric Carrillo accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Medica list Eric Carrillo 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 Eric Carrillo affiliated with any hospitals?

According to CMS data, Eric Carrillo is affiliated with Susan B Allen Memorial Hospital, Nmc Health, Wesley Medical Center, Centura St. Catherine-Dodge City and Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Eric Carrillo was last updated on February 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.