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CARL A CONSTANTINE M.D.
NPI 1669586293
Internal Medicine in Santa Paula, CA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
825 N 10TH ST, SANTA PAULA, CA 93060(805) 647-0880 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl A Constantine M.d. NPPES

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

CARL A CONSTANTINE M.D. (NPI 1669586293) is an individual internal medicine provider in Santa Paula, California, licensed in California (G68370) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1669586293
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARL A CONSTANTINECredential: M.D.
Location Address825 N 10TH STSanta Paula, CA 93060-1309
Mailing AddressPo Box 660640Arcadia, CA 91066-0640 · (626) 447-0297 · Fax (626) 447-6057
Phone(805) 647-0880
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 19, 2006
Last NPPES UpdateApril 22, 2013
✔ NPI 1669586293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G68370
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
825 N 10TH ST, Santa Paula, CA 93060
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Other Identifiers 3

Medicare UPINE82271CA
Medicare PINWG68370KCA
OtherG68370CA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl A Constantine M.d. 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.

PECOS PAC ID7214824598
PECOS Enrollment IDI20240903002540
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Mahaska Health Partnership

Critical Access Hospitals · Oskaloosa, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161379
Location1229 C Avenue EastOskaloosa, IA 52577 · Mahaska County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93060 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%127 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$40.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$62.31 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$31.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. JEROLD ANTHONY NOAH M.D.
Family Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 933-8600
TAMARA TAKARA
Pharmacist
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 933-8636
DR. YASHA S LONG MD.
Emergency Medicine
825 N 10TH ST, EMERGENCY DEPARTMENT
SANTA PAULA, CA 93060
Ventura County (805) 933-8600
DR. JORDANA DEAN KABAN DO
Emergency Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 933-8663
MR. LAWRENCE STEVEN NOBLE PHARMACIST
Pharmacist
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 933-8636
SARA THORP D.O.
Family Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 933-8632
DR. ANDREA TERAN GONZALES M.D.
Emergency Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 525-7171
SANTA PAULA EMERGENCY MEDICAL GROUP, INC
Emergency Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Ventura County (805) 525-7171

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 Carl Constantine's NPI number?

The NPI number for Carl Constantine is 1669586293. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Carl Constantine located?

Carl Constantine practices at 825 N 10th St, Santa Paula, CA 93060. The listed phone number is (805) 647-0880.

What is Carl Constantine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carl Constantine enrolled in Medicare?

Yes. Carl Constantine 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.

What insurance does Carl Constantine accept?

Health plans from Medica list Carl Constantine 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.

Is Carl Constantine affiliated with any hospitals?

According to CMS data, Carl Constantine is affiliated with Mercyone Des Moines Medical Center and Mahaska Health Partnership.

When was this NPI record last updated?

The NPPES record for Carl Constantine was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.