Debra Ann Carson, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2013035130 Issued in MO

Practice address

120 Hospital Dr Ste 225
Lebanon, MO 65536-9254

Phone

(417) 533-6710

NPI assigned

Jul 24, 2007

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Ohio University, College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059
• Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  Medicare reassignment NPD
• Physician Services Corporation of Southern Illinois Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454
  NPD
• Mercy Hospital Lebanon

  • General Acute Care Hospital
  • Lebanon, MO
  • NPI 1447284898
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Lebanon

  • General Acute Care Hospital
  • Lebanon, MO
  • NPI 1447284898
  Care Compare affiliation
• Mercy Hospital Lebanon

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1740413988
  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Life Line

  • Air Ambulance
  • Branson West, MO
  • NPI 1144430760

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Mt. Vernon

  • Land Ambulance
  • Mount Vernon, MO
  • NPI 1427279173

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Camden County

  • Land Ambulance
  • Camdenton, MO
  • NPI 1477765204

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Shannon County

  • Land Ambulance
  • Winona, MO
  • NPI 1538380654

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Cedar County

  • Land Ambulance
  • Stockton, MO
  • NPI 1558573386

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services

  • Land Ambulance
  • Springfield, MO
  • NPI 1558573410

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1578504056
  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Mt. View-Summersville

  • Land Ambulance
  • Mountain View, MO
  • NPI 1639204308

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  dba Mercy Emergency Medical Services-Carroll County

  • Land Ambulance
  • Green Forest, AR
  • NPI 1477756609

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1043410392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 225",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369254",
            "telephone_number": "417-533-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 225",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369254",
            "telephone_number": "417-533-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 Office Park Dr",
            "address_2": "Heartland Womens Health Care, Attn: Nina Rudolph",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629596477",
            "country_code": "US",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.008891",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036126570",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2013035130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Calbert, CRNA
• Ann Bernette Calley, LPC
• Calming the Storm
• Derrick Leighton Carroll, LPC
• Michaela Lane Carroll, PLPC
• Philip W Caster, MD
• Gregory William Chaffin
• Ashley Cheney
• Angela Nicole Childress, DPT
• Chiropractic Pain Relief Centers, P.C

• Obstetrics & Gynecology Physician in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.