CRAIG KARNES PA
NPI 1548709355
Physician Assistant in Springfield, MO

Active since February 14, 2017PECOS EnrolledAccepts Medicare Assignment
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807(417) 875-3846 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2020, Feb 14, 2017 (2 updates tracked since 2017).

About Craig Karnes Pa NPPES

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

CRAIG KARNES PA (NPI 1548709355) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2017003631) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1548709355
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCRAIG KARNESCredential: PA
Location Address3800 S NATIONAL AVE STE 600Springfield, MO 65807-5249
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 14, 2017
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
NPI 1548709355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2017003631
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3800 S NATIONAL AVE STE 600, Springfield, MO 65807

Secondary Practice Location 1

Location 1500 Porter AveAurora, MO 65605-2365 · Phone (417) 678-7888

Other Identifiers 2

MedicaidPENDINGMO
Medicaid220040369MO

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

Craig Karnes Pa 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 ID4486937406
PECOS Enrollment IDI20170216001430
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services38 patients
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.
27 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

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.

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.

Physician Assistant
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Physician Assistant (Surgical)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Nurse Practitioner
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Orthopaedic Trauma)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Physician Assistant
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Surgery
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Orthopaedic Trauma)
3800 S NATIONAL AVE STE 600
SPRINGFIELD, MO 65807
Physician Assistant
3800 S NATIONAL AVE STE 600
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 Craig Karnes's NPI number?

The NPI number for Craig Karnes is 1548709355. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Where is Craig Karnes located?

Craig Karnes practices at 3800 S National Ave Ste 600, Springfield, MO 65807. The listed phone number is (417) 875-3846.

What is Craig Karnes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Craig Karnes enrolled in Medicare?

Yes. Craig Karnes 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 Craig Karnes accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and Octave list Craig Karnes 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 Craig Karnes affiliated with any hospitals?

According to CMS data, Craig Karnes is affiliated with Cox Medical Centers and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Craig Karnes was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.