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DR. KELLY MORGAN CARLISLE M.D.
NPI 1760461875
Internal Medicine in Shreveport, LA

Active since January 17, 2006PECOS Enrolled
ONE SAINT MARY PLACE, SHREVEPORT, LA 71101(318) 681-6812(318) 681-7185 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, May 23, 2023, Aug 31, 2022 (3 updates tracked since 2022).

About Dr. Kelly Morgan Carlisle M.d. NPPES

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

DR. KELLY MORGAN CARLISLE M.D. (NPI 1760461875) is an individual internal medicine provider in Shreveport, Louisiana, licensed in Louisiana (MD.14004R) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1760461875
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY MORGAN CARLISLECredential: M.D.
Location AddressONE SAINT MARY PLACEShreveport, LA 71101-0000
Mailing AddressOne Saint Mary PlaceShreveport, LA 71101-0000 · (318) 681-6812 · Fax (318) 684-7185
Phone(318) 681-6812
Fax(318) 681-7185
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1760461875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in LA · MD.14004R✔ Licensed in LA · 14004R✔ Licensed in WA · MD60821843
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.
ONE SAINT MARY PLACE, Shreveport, LA 71101
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Other Names 1

Former Name (1)Kelly Jean Morgan M.d.

Secondary Practice Location 1

Location 11615 Delaware StLongview, WA 98632-2367 · Phone (360) 501-3601 · Fax (360) 442-6843

Other Identifiers 1

Medicaid1183661LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Morgan Carlisle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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…
99%162 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

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

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
2 suppliers12 claims12 services$81.56 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 3

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

RADIATION ONCOLOGY ST MARY PLACE LLC
Radiology (Radiation Oncology)
ONE SAINT MARY PLACE, CANCER TREATMENT CENTER
SHREVEPORT, LA 71101
Caddo Parish (318) 681-4126
KEITH ELIOT STRAIN MD
Pediatrics (Pediatric Emergency Medicine)
ONE SAINT MARY PLACE
SHREVEPORT, LA 71101
Caddo Parish (318) 381-6174
DR. STEPHEN ROYCE MAXWELL MD
Internal Medicine
ONE SAINT MARY PLACE
SHREVEPORT, LA 71101
Caddo Parish (318) 681-6812

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 Kelly Carlisle's NPI number?

The NPI number for Kelly Carlisle is 1760461875. It was assigned to this individual provider in the NPPES registry on January 17, 2006. The provider is also known as Kelly Jean Morgan M.D..

Where is Kelly Carlisle located?

Kelly Carlisle practices at One Saint Mary Place, Shreveport, LA 71101. The listed phone number is (318) 681-6812.

What is Kelly Carlisle's specialty?

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

Is Kelly Carlisle enrolled in Medicare?

Yes. Kelly Carlisle is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Carlisle accept?

Health plans from HMO Louisiana, Medica and Oscar Insurance Company list Kelly Carlisle 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 Kelly Carlisle was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.