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DR. DAVID CARL M.D.
NPI 1972920080
Pediatrics in Benton City, WA

Active since March 26, 2014PECOS Enrolled
BENTON CITY CLINIC-PROSSER MEMORIAL HEALTH, 701 DALE AVE SUITE A, BENTON CITY, WA 99350(509) 588-4075(509) 588-4197 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2021, Apr 19, 2021, Sep 28, 2018 (3 updates tracked since 2018).

About Dr. David Carl M.d. NPPES

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

DR. DAVID CARL M.D. (NPI 1972920080) is an individual pediatrics provider in Benton City, Washington, licensed in Washington (MD60763667) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972920080
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DAVID CARLCredential: M.D.
Location AddressBENTON CITY CLINIC-PROSSER MEMORIAL HEALTH, 701 DALE AVE SUITE ABenton City, WA 99350
Mailing Address723 Memorial StProsser, WA 99350-1524 · (509) 786-2222 · Fax (509) 786-6612
Phone(509) 588-4075
Fax(509) 588-4197
Sole ProprietorNo
Enumeration DateMarch 26, 2014
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1972920080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD60763667
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
BENTON CITY CLINIC-PROSSER MEMORIAL HEALTH, Benton City, WA 99350
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Carl 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.

Medicare Billing Reassignment

Medicare enrollment records show David Carl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prosser Public Hospital District Of Benton County
Same address
Rural Health
336 CHARDONNAY AVE STE A
Prosser, WA 99350
  • Reassigned Medicare billing, Washington enrollment
  • 232 clinicians in this Medicare group
NPI 1477088391 (509) 786-1576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99350 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 David Carl's NPI number?

The NPI number for David Carl is 1972920080. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is David Carl located?

David Carl practices at Benton City Clinic-Prosser Memorial Health 701 Dale Ave Suite A, Benton City, WA 99350. The listed phone number is (509) 588-4075.

What is David Carl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Carl enrolled in Medicare?

Yes. David Carl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Carl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Carl reassigns Medicare benefits to Prosser Public Hospital District Of Benton County (Prosser, WA). 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 David Carl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Carl accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Carl 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 David Carl was last updated on June 1, 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.