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MEGAN CARLSON D. O.
NPI 1710346762
Obstetrics & Gynecology in Joplin, MO

Active since February 18, 2016PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
1532 W 32ND ST STE 401, JOPLIN, MO 64804(417) 347-7009(417) 347-3288 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2020, Jul 29, 2020, Feb 18, 2016 (3 updates tracked since 2016).

About Megan Carlson D. O. NPPES

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

MEGAN CARLSON D. O. (NPI 1710346762) is an individual obstetrics & gynecology provider in Joplin, Missouri, licensed in Missouri (2020021397) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).

NPPES Registry Identity

NPI1710346762
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMEGAN CARLSONCredential: D. O.
Location Address1532 W 32ND ST STE 401Joplin, MO 64804-1646
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-7009 · Fax (417) 347-3288
Phone(417) 347-7009
Fax(417) 347-3288
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2016
Enumeration DateFebruary 18, 2016
Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1710346762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2020021397
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1532 W 32ND ST STE 401, Joplin, MO 64804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Megan Carlson D. O. 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 ID5092131219
PECOS Enrollment IDI20200819001353, I20260701000100
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Megan Carlson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeman-Oak Hill Health System
0.2 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605
Freeman Neosho Hospital
15 mi
Internal Medicine
336 S JEFFERSON ST
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
  • 65 clinicians in this Medicare group
NPI 1083045686 (417) 347-6605
Cherokee Nation
46 mi
Multi-Specialty
859 E. MELTON DRIVE
Jay, OK 74346
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1659388965 (918) 253-4271
Obhg Missouri, PC
68 mi
Obstetrics & Gynecology
1423 N JEFFERSON AVE
Springfield, MO 65802
  • Reassigned Medicare billing, Missouri enrollment
  • 41 clinicians in this Medicare group
NPI 1154672095 (800) 967-2289

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 4

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

KARLIN ANN SILVERS APRN-CNM
Advanced Practice Midwife
1532 W 32ND ST STE 401
JOPLIN, MO 64804
Newton County (417) 347-7009
DR. JANA LAINE ALLISON MD
Obstetrics & Gynecology
1532 W 32ND ST STE 401
JOPLIN, MO 64804
Newton County (417) 347-7009
HUGH L LACEY MD
Obstetrics & Gynecology
1532 W 32ND ST STE 401
JOPLIN, MO 64804
Newton County (417) 347-7009
FAITH NATASHA REYNOLDS NP
Nurse Practitioner
1532 W 32ND ST STE 401
JOPLIN, MO 64804
Newton County (417) 347-7009

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 Megan Carlson's NPI number?

The NPI number for Megan Carlson is 1710346762. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Megan Carlson located?

Megan Carlson practices at 1532 W 32nd St Ste 401, Joplin, MO 64804. The listed phone number is (417) 347-7009.

What is Megan Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Megan Carlson enrolled in Medicare?

Yes. Megan Carlson 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 Megan Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Carlson reassigns Medicare benefits to 4 organizations: Freeman-Oak Hill Health System (Joplin, MO), Freeman Neosho Hospital (Neosho, MO), Cherokee Nation (Jay, OK) and Obhg Missouri, PC (Springfield, MO). 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 Megan Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield list Megan Carlson 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 Megan Carlson affiliated with any hospitals?

According to CMS data, Megan Carlson is affiliated with Freeman Health System - Freeman West, Freeman Neosho Hospital and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Megan Carlson was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.