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CARSON POWELL MD
NPI 1629773460
Surgery in Maywood, IL

Active since April 03, 2023PECOS Enrolled
2160 S 1ST AVE # 60153, MAYWOOD, IL 60153(788) 488-8584 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Carson Powell Md NPPES

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

CARSON POWELL MD (NPI 1629773460) is an individual surgery provider in Maywood, Illinois, licensed in Illinois (125.082700) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629773460
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCARSON POWELLCredential: MD
Location Address2160 S 1ST AVE # 60153Maywood, IL 60153-3328
Mailing Address729 E Northshore DrSyracuse, IN 46567-2140
Phone(788) 488-8584
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1629773460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125.082700
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2160 S 1ST AVE # 60153, Maywood, IL 60153
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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)

Carson Powell Md 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 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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 Powell's NPI number?

The NPI number for Carson Powell is 1629773460. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Carson Powell located?

Carson Powell practices at 2160 S 1st Ave # 60153, Maywood, IL 60153. The listed phone number is (788) 488-8584.

What is Carson Powell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carson Powell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carson Powell was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.