CARL I PRICE MD
NPI 1336182476
Plastic Surgery in Springfield, MO

Active since June 14, 2006PECOS Enrolled
75/100
CMS Quality Rating
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 875-3000(417) 875-3810 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carl I Price Md NPPES

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

CARL I PRICE MD (NPI 1336182476) is an individual plastic surgery provider in Springfield, Missouri, licensed in Missouri (103064) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336182476
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameCARL I PRICECredential: MD
Location Address3555 S NATIONAL AVESpringfield, MO 65807-7310
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Fax(417) 875-3810
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 5, 2012
✔ NPI 1336182476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MO · 103064
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
3555 S NATIONAL AVE, Springfield, MO 65807

Other Identifiers 4

Medicare ID-Type Unspecified030014838
Medicaid206653909MO
Other106980Blue Cross/blue Shield
Medicare UPINC20689

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl I Price Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carl Price reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
1001 E PRIMROSE ST, SUITE 2 WEST
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 239 clinicians in this Medicare group
End-Stage Renal Disease (ESRD) Treatment
1001 E PRIMROSE ST
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 457 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Orthopaedic Surgery
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

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 Price's NPI number?

The NPI number for Carl Price is 1336182476. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Carl Price located?

Carl Price practices at 3555 S National Ave, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is Carl Price's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Carl Price enrolled in Medicare?

Yes. Carl Price is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Price reassigns Medicare benefits to 2 organizations: Lester E Cox Medical Centers (Springfield, MO) and Lester E Cox Medical Centers (Springfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Price accept?

Health plans from Oscar Insurance Company list Carl Price 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.

When was this NPI record last updated?

The NPPES record for Carl Price was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.