MS. CARSON BLAINE FONNER DPT
NPI 1649978263
Physical Therapist in Saint Louis, MO
About Ms. Carson Blaine Fonner Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CARSON BLAINE FONNER DPT (NPI 1649978263) is an individual physical therapist in Saint Louis, Missouri, licensed in Missouri (2025017923) and active in the NPI registry since February 2023. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Carson Blaine Fonner Dpt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carson Fonner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 101 clinicians in this Medicare group
Aurora, CO 80013
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Panorama Orthopedics And Spine Center PC
- 431 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Fonner's NPI number?
The NPI number for Carson Fonner is 1649978263. It was assigned to this individual provider in the NPPES registry on February 22, 2023.
Where is Carson Fonner located?
Carson Fonner practices at 4240 Duncan Ave Dept Physical Therapy, Ste 120, Saint Louis, MO 63110. The listed phone number is (314) 286-1940.
What is Carson Fonner's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Carson Fonner enrolled in Medicare?
Yes. Carson Fonner 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.
Which organizations bill Medicare for Carson Fonner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carson Fonner reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Panorama Orthopedics & Spine Center, PC (Aurora, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carson Fonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carson Fonner accept?
Health plans from UnitedHealthcare list Carson Fonner 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.
When was this NPI record last updated?
The NPPES record for Carson Fonner was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Carson Blaine Fonner, DPT · NPI 1649978263
Physical Therapist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 22, 2023.
## Identity
- **NPI:** 1649978263 (Entity type: Individual)
- **Enumerated:** February 22, 2023
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 2025017923 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120, Saint Louis, MO 63110-1101
- **Phone:** (314) 286-1940 · **Fax:** (314) 286-1473
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1922048420, Saint Louis, MO); Panorama Orthopedics & Spine Center, PC (NPI 1841916186, Aurora, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1649978263) · Data from the CMS NPPES public registry.