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CARLIE KENNEDY THOMPSON M.D.
NPI 1639480759
Surgery - Surgical Oncology in Burbank, CA

Active since June 23, 2010PECOS Enrolled
191 S BUENA VISTA ST STE 415, BURBANK, CA 91505(818) 333-2555(818) 333-2559 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2019, Sep 5, 2018 (2 updates tracked since 2018).

About Carlie Kennedy Thompson M.d. NPPES

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

CARLIE KENNEDY THOMPSON M.D. (NPI 1639480759) is an individual surgical oncology provider in Burbank, California, licensed in California (A127831) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2010).

NPPES Registry Identity

NPI1639480759
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameCARLIE KENNEDY THOMPSONCredential: M.D.
Location Address191 S BUENA VISTA ST STE 415Burbank, CA 91505-4541
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(818) 333-2555
Fax(818) 333-2559
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1639480759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in CA · A127831
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 127831 (CA)
191 S BUENA VISTA ST STE 415, Burbank, CA 91505
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Other Names 1

Former Name (1)Carlie Rebecca Kennedy M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlie Kennedy Thompson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002115177
PECOS Enrollment IDI20170828004537
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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
37 services31 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
23 services23 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

DANIELLE MACQUEEN GRAHAM M.D.
Surgery (Surgical Oncology)
191 S BUENA VISTA ST STE 415
BURBANK, CA 91505
Los Angeles County (818) 333-2555

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 Carlie Thompson's NPI number?

The NPI number for Carlie Thompson is 1639480759. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Carlie Rebecca Kennedy M.D..

Where is Carlie Thompson located?

Carlie Thompson practices at 191 S Buena Vista St Ste 415, Burbank, CA 91505. The listed phone number is (818) 333-2555.

What is Carlie Thompson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Carlie Thompson enrolled in Medicare?

Yes. Carlie Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlie Thompson was last updated on December 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.