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DR. CARISSA MARIE GILL DDS
NPI 1487616926
Dentist - General Practice in Anthony, KS

Active since April 03, 2006Opted out of Medicare · through Jan 11, 2028
113 N ANTHONY AVE, ANTHONY, KS 67003(620) 842-3844(620) 842-4139 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carissa Marie Gill Dds NPPES

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

DR. CARISSA MARIE GILL DDS (NPI 1487616926) is an individual general practice provider in Anthony, Kansas, licensed in Kansas (60042) and active in the NPI registry since April 2006. She has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487616926
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARISSA MARIE GILLCredential: DDS
Location Address113 N ANTHONY AVEAnthony, KS 67003-2007
Mailing Address113 N Anthony AveAnthony, KS 67003-2007 · (620) 842-3844 · Fax (620) 842-4139
Phone(620) 842-3844
Fax(620) 842-4139
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 9, 2012
✔ NPI 1487616926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 60042
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
113 N ANTHONY AVE, Anthony, KS 67003
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Other Identifiers 2

Other116667KS · Blue Cross Blue Shield
Medicaid4087049504KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carissa Marie Gill Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2016 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67003 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 2

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

DR. MARK LEE ERICKSON DDS
Dentist (General Practice)
113 N ANTHONY AVE
ANTHONY, KS 67003
Harper County (620) 842-3844
ERICKSON & GILL, P.A.
Dentist (General Practice)
113 N ANTHONY AVE
ANTHONY, KS 67003
Harper County (620) 842-3844

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 Carissa Gill's NPI number?

The NPI number for Carissa Gill is 1487616926. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Carissa Gill located?

Carissa Gill practices at 113 N Anthony Ave, Anthony, KS 67003. The listed phone number is (620) 842-3844.

What is Carissa Gill's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carissa Gill enrolled in Medicare?

No. Carissa Gill has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carissa Gill accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Carissa Gill 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 Carissa Gill was last updated on August 9, 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.