CARL F PAINTER III MD
NPI 1689669111
Orthopaedic Surgery in Breese, IL
About Carl F Painter Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL F PAINTER III MD (NPI 1689669111) is an individual orthopaedic surgery provider in Breese, Illinois, licensed in Illinois (036101536) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and maintains a secondary practice location in Bartlesville.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
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
Carl F Painter Iii Md 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
3Medicare enrollment records show Carl Painter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri, Kansas and Oklahoma enrollments
- Also billed through NPI 1215264817 (Oklahoma)
- 562 clinicians in this Medicare group
Afton, OK 74331
- Reassigned Medicare billing, Oklahoma enrollment
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 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hshs Holy Family Hospital Inc
Acute Care Hospitals · Greenville, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILMercy Specialty Hospital Southeast Kansas
Acute Care Hospitals · Galena, KSMercy Hospital Joplin
Acute Care Hospitals · Joplin, MOMercy Hospital Carthage
Critical Access Hospitals · Carthage, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Painter's NPI number?
The NPI number for Carl Painter is 1689669111. It was assigned to this individual provider in the NPPES registry on September 12, 2005. The provider is also known as Dr. Tracy Painter MD.
Where is Carl Painter located?
Carl Painter practices at 14017 Jamestown Rd, Breese, IL 62230. The listed phone number is (618) 526-7154.
What is Carl Painter's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Carl Painter enrolled in Medicare?
Yes. Carl Painter 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 Carl Painter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Painter reassigns Medicare benefits to 3 organizations: Sjl Health Systems Inc (Pana, IL), Mercy Clinic Joplin LLC (Carthage, MO) and In Home 2 Heal LLC (Afton, OK). 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 Carl Painter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Painter accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Carl Painter 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 Painter affiliated with any hospitals?
According to CMS data, Carl Painter is affiliated with Hshs Holy Family Hospital Inc, Hshs St Elizabeth's Hospital, Mercy Specialty Hospital Southeast Kansas, Mercy Hospital Joplin and Mercy Hospital Carthage.
When was this NPI record last updated?
The NPPES record for Carl Painter was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Carl F Painter III, MD · NPI 1689669111
Orthopaedic Surgery physician in Breese, Illinois. Individual provider, active in the CMS NPPES registry since September 12, 2005.
## Identity
- **NPI:** 1689669111 (Entity type: Individual)
- **Enumerated:** September 12, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 036101536 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 14017 JAMESTOWN RD, Breese, IL 62230-3647
- **Phone:** (618) 526-7154 · **Fax:** (618) 526-8248
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sjl Health Systems Inc (NPI 1215037353, Pana, IL); Mercy Clinic Joplin LLC (NPI 1477822567, Carthage, MO); In Home 2 Heal LLC (NPI 1649083031, Afton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1995
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Medicaid 100192510A (OK); Medicaid 036101536 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1689669111) · Data from the CMS NPPES public registry.