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DR. CARSON WOODBURY MD, MPHIL
NPI 1568907632
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Park Ridge, IL

Active since December 28, 2016PECOS Enrolled
1875 DEMPSTER ST STE 665, PARK RIDGE, IL 60068(847) 825-1590 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 16, 2025, May 30, 2023, Dec 28, 2016 (3 updates tracked since 2016).

About Dr. Carson Woodbury Md, Mphil NPPES

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

DR. CARSON WOODBURY MD, MPHIL (NPI 1568907632) is an individual urogynecology and reconstructive pelvic surgery provider in Park Ridge, Illinois, licensed in Illinois (036164469) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1568907632
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. CARSON WOODBURYCredential: MD, MPHIL
Location Address1875 DEMPSTER ST STE 665Park Ridge, IL 60068-1168
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(847) 825-1590
Sole ProprietorNo
Enumeration DateDecember 28, 2016
Last NPPES UpdateJune 19, 20263 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1568907632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in IL · 036164469
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1875 DEMPSTER ST STE 665, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-4533

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carson Woodbury Md, Mphil 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 5

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

KATARZYNA BOCHENSKA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Cook County (847) 825-1590
RAVI DIPAK PATEL
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Cook County (847) 825-1590
ROBERTA E BLANDON M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Cook County (847) 825-1590
DR. KELLY ED JIRSCHELE DO
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Cook County (847) 825-1590
DEANNDRA OLLE APRN
Nurse Practitioner
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Cook County (847) 825-1590

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 Carson Woodbury's NPI number?

The NPI number for Carson Woodbury is 1568907632. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Carson Woodbury located?

Carson Woodbury practices at 1875 Dempster St Ste 665, Park Ridge, IL 60068. The listed phone number is (847) 825-1590.

What is Carson Woodbury's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Carson Woodbury enrolled in Medicare?

Yes. Carson Woodbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carson Woodbury was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.