CARLA PRINCE BOLIVAR M.D.
NPI 1922233873
Internal Medicine in Farmington, MO

Q: What is Carla Prince Bolivar's NPI number?

The NPI number for Carla Prince Bolivar is 1922233873. It was assigned to this individual provider in the NPPES registry on May 21, 2009. The provider is also known as Carla Prince M.D..

Q: What is Carla Prince Bolivar's specialty?

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

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment

92.57/100

CMS Quality Rating

515 MAPLE VALLEY DR, FARMINGTON, MO 63640(573) 760-7920(573) 756-9597 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2021, Jan 26, 2016 (2 updates tracked since 2016).

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About Carla Prince Bolivar M.d. NPPES

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

CARLA PRINCE BOLIVAR M.D. (NPI 1922233873) is an individual internal medicine provider in Farmington, Missouri, licensed in Missouri (2009022078) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1922233873

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCARLA PRINCE BOLIVARCredential: M.D.

Location Address515 MAPLE VALLEY DRFarmington, MO 63640-1919

Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-3000 · Fax (573) 331-5073

Phone(573) 760-7920

Fax(573) 756-9597

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 21, 2009

Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration

NPPES CertifiedMarch 9, 2021

✔ NPI 1922233873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2009022078

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.

515 MAPLE VALLEY DR, Farmington, MO 63640

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Other Names 1

Other Name (5)Carla Prince M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carla Prince Bolivar M.d. 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 ID3274675699

PECOS Enrollment IDI20100123000217

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.

Areas of Expertise CMS Part B claims 4

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

80 services50 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

51 services45 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

33 services27 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260163

Location1101 W LibertyFarmington, MO 63640 · St. Francois County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

92.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.03

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers46 claims168 services$6.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers24 claims41 services$1.13 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604