CARL DOUGLAS PORTER MD
NPI 1720087463
Physical Medicine & Rehabilitation in Springfield, OH
About Carl Douglas Porter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL DOUGLAS PORTER MD (NPI 1720087463) is an individual physical medicine & rehabilitation provider in Springfield, Ohio, licensed in Ohio (35064697) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Ohio State University College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 Douglas Porter 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 Reassignment
Medicare enrollment records show Carl Douglas Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 215 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHKettering Health Main Campus
Acute Care Hospitals · Kettering, OHSpringfield Regional Medical Center
Acute Care Hospitals · Springfield, OHOhio Valley Surgical Hospital
Acute Care Hospitals · Springfield, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHMedicare 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 10
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, OH 45504
SPRINGFIELD, OH 45504
SPRINGFIELD, OH 45504
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 Douglas Porter's NPI number?
The NPI number for Carl Douglas Porter is 1720087463. It was assigned to this individual provider in the NPPES registry on July 15, 2005.
Where is Carl Douglas Porter located?
Carl Douglas Porter practices at 100 Medical Center Dr, Springfield, OH 45504. The listed phone number is (937) 523-1034.
What is Carl Douglas Porter's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Carl Douglas Porter enrolled in Medicare?
Yes. Carl Douglas Porter 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 organization bills Medicare for Carl Douglas Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Douglas Porter reassigns Medicare benefits to Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH). The 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 Douglas Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Douglas Porter accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Carl Douglas Porter 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 Douglas Porter affiliated with any hospitals?
According to CMS data, Carl Douglas Porter is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Springfield Regional Medical Center, Ohio Valley Surgical Hospital and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Carl Douglas Porter was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.