CARLA J SPRINGER M.D.
NPI 1356382923
Family Medicine in Waterloo, IA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
1015 S HACKETT RD, SUITE 100, WATERLOO, IA 50701(319) 274-1000(319) 292-6526 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carla J Springer M.d. NPPES

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

CARLA J SPRINGER M.D. (NPI 1356382923) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (37633) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1356382923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARLA J SPRINGERCredential: M.D.
Location Address1015 S HACKETT RD, SUITE 100Waterloo, IA 50701-3500
Mailing Address1015 S Hackett Rd, Suite 100Waterloo, IA 50701-3500 · (319) 374-1000 · Fax (319) 292-6526
Fax(319) 292-6526
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 31, 2011
NPI 1356382923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · 37633 Licensed in IA · R7503
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.
1015 S HACKETT RD, Waterloo, IA 50701

Other Names 1

Former Name (1)Carla J Riley M.d.

Other Identifiers 5

Medicaid1356382923IA
Medicaid0469924IA
Medicare PINIB1491008IA
Medicare PIN719260111IA
OtherP00819893IA · Rr Medicare

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

Carla J Springer M.d. 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 ID6608937776
PECOS Enrollment IDI20081208000320
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 13

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
456 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
407 services181 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
308 services35 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
251 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
85 services26 patients

Hospital Affiliations CMS Care Compare

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers69 claims155 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims27 services$1.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers20 claims20 services$89.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers19 claims38 services$36.38 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims64 services$19.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$52.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
1015 S HACKETT RD
WATERLOO, IA 50701
Pharmacy (Community/Retail Pharmacy)
1015 S HACKETT RD
WATERLOO, IA 50701
Nurse Practitioner
1015 S HACKETT RD
WATERLOO, IA 50701
Internal Medicine
1015 S HACKETT RD
WATERLOO, IA 50701
Nurse Practitioner
1015 S HACKETT RD
WATERLOO, IA 50701
Physician Assistant
1015 S HACKETT RD
WATERLOO, IA 50701
Physician Assistant
1015 S HACKETT RD
WATERLOO, IA 50701
Internal Medicine (Gastroenterology)
1015 S HACKETT RD
WATERLOO, IA 50701

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 Carla Springer's NPI number?

The NPI number for Carla Springer is 1356382923. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Carla J Riley M.D..

Where is Carla Springer located?

Carla Springer practices at 1015 S Hackett Rd Suite 100, Waterloo, IA 50701. The listed phone number is (319) 274-1000.

What is Carla Springer's specialty?

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

Is Carla Springer enrolled in Medicare?

Yes. Carla Springer 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 Carla Springer accept?

Health plans from Medica list Carla Springer 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 Carla Springer affiliated with any hospitals?

According to CMS data, Carla Springer is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Carla Springer was last updated on October 31, 2011. 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.