TODD PHILLIP DECARLIS PA
NPI 1598004152
Physician Assistant - Surgical in Springfield, MO

Q: What is Todd Decarlis's NPI number?

The NPI number for Todd Decarlis is 1598004152. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Q: What is Todd Decarlis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Todd Decarlis was last updated on February 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2013PECOS Enrolled

2900 S NATIONAL AVE, SPRINGFIELD, MO 65804(417) 885-3888(417) 881-7638 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Todd Phillip Decarlis Pa NPPES

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

TODD PHILLIP DECARLIS PA (NPI 1598004152) is an individual surgical provider in Springfield, Missouri, licensed in Missouri (2013003532) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598004152

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTODD PHILLIP DECARLISCredential: PA

Location Address2900 S NATIONAL AVESpringfield, MO 65804-3634

Mailing AddressPo Box 4024Springfield, MO 65808-4024 · (417) 885-3888 · Fax (417) 881-7638

Phone(417) 885-3888

Fax(417) 881-7638

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 1, 2013

✔ NPI 1598004152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MO · 2013003532

2900 S NATIONAL AVE, Springfield, MO 65804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Phillip Decarlis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880830850

PECOS Enrollment IDI20250730002475

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.