DR. CARL L. SYLVESTER MD
NPI 1831241587
Ophthalmology in Oklahoma City, OK

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
87.27/100
CMS Quality Rating
13321 N MERIDIAN AVE, SUITE 110, OKLAHOMA CITY, OK 73120(405) 778-8993(405) 778-8994 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2021, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Carl L. Sylvester Md NPPES

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

DR. CARL L. SYLVESTER MD (NPI 1831241587) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (23324) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Southwest Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1831241587
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CARL L. SYLVESTERCredential: MD
Location Address13321 N MERIDIAN AVE, SUITE 110Oklahoma City, OK 73120-8356
Mailing AddressDept 96-0392Oklahoma City, OK 73196-0392 · (405) 778-8993 · Fax (405) 778-8994
Fax(405) 778-8994
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1831241587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 23324
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 23324 (OK)
13321 N MERIDIAN AVE, Oklahoma City, OK 73120

Other Identifiers 2

OtherP00342407 CS5077OK · Rr Medicare
Other731434343OK · Tax Id#

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

Dr. Carl L. Sylvester 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.

PECOS PAC ID7911912019
PECOS Enrollment IDI20060210000274
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

5

Medicare enrollment records show Carl Sylvester reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
13710 N PENNSYLVANIA AVE STE 1
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
Ophthalmologic Surgery
4214 SW LEE BLVD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
Ophthalmology
4214 SW LEE BLVD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 4 clinicians in this Medicare group
Specialist
1519 E 6TH ST
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
Ophthalmology
1911 N MILLS AVE
Orlando, FL 32803
  • Reassigned Medicare billing, Oklahoma enrollment
  • 8 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 18

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
460 services438 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
301 services199 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
200 services118 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
180 services179 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
147 services120 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
113 services107 patients

Hospital Affiliations CMS Care Compare 2

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

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Summit Medical Center, LLC

Acute Care Hospitals · Edmond, OK
OwnershipPhysician
CMS Certification Number370225
Location1800 South Renaissance BoulevardEdmond, OK 73013 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

87.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost57.59

Other Providers at the Same Location NPPES 12

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

Pediatrics
13321 N MERIDIAN AVE, SUITE 200
OKLAHOMA CITY, OK 73120
Specialist
13321 N MERIDIAN AVE, SUITE 400
OKLAHOMA CITY, OK 73120
Specialist
13321 N MERIDIAN AVE, SUITE 400
OKLAHOMA CITY, OK 73120
Optometrist
13321 N MERIDIAN AVE, SUITE 110
OKLAHOMA CITY, OK 73120
Family Medicine
13321 N MERIDIAN AVE, STE 314
OKLAHOMA CITY, OK 73120
Specialist
13321 N MERIDIAN AVE, STE 400A
OKLAHOMA CITY, OK 73120
Anesthesiology
13321 N MERIDIAN AVE
OKLAHOMA CITY, OK 73120
Nurse Practitioner
13321 N MERIDIAN AVE, H-MD MEDSPA
OKLAHOMA CITY, OK 73120

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 Sylvester's NPI number?

The NPI number for Carl Sylvester is 1831241587. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Carl Sylvester located?

Carl Sylvester practices at 13321 N Meridian Ave Suite 110, Oklahoma City, OK 73120. The listed phone number is (405) 778-8993.

What is Carl Sylvester's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carl Sylvester enrolled in Medicare?

Yes. Carl Sylvester 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 Sylvester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Sylvester reassigns Medicare benefits to 5 organizations: Carl L. Sylvester, MD PC (Oklahoma City, OK), Rgh Eye Clinic PLLC (Lawton, OK), (Lawton, OK), Thurmond Eye Associates, PLLC (Weslaco, TX) and Magruder Eye Institute, PLLC (Orlando, FL). 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 Sylvester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Sylvester accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 9 other insurers list Carl Sylvester 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 Sylvester affiliated with any hospitals?

According to CMS data, Carl Sylvester is affiliated with Integris Southwest Medical Center and Summit Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Carl Sylvester was last updated on March 15, 2021. 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.