Active NPI
Carl Wesley Fillingame, PA
- Surgical Physician Assistant
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 19550 E 39TH St S Ste 230
Independence, MO 64057-2309 - Phone
- (816) 795-6630
- Fax
- (816) 795-6898
- NPI assigned
- Feb 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MO | Primary |
Addresses
Primary practice location
19550 E 39TH St S Ste 230
Independence, MO 64057-2309
Mailing address
19550 E 39TH St S Ste 230
Independence, MO 64057-2309
Phone (816) 795-6630
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CARL.FILLINGAME@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Missouri, Kansas City, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19550 E 39TH St S
Suite 230a
Independence, MO 64057-2358
Phone (816) 795-6630
19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 276-9230
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 99.21
- Improvement activities
- 40
- Cost
- 55.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Doctors Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- carl.fillingame@hca2.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Independence, MO
- NPI 1164617106
-
dba Mid-America Sports Medicine and Wellness
- Sports Medicine (Family Medicine) Physician
- Independence, MO
- NPI 1841462314
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1265971733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S STE 230",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572309",
"telephone_number": "816-795-6630",
"fax_number": "816-795-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S STE 230",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572309",
"telephone_number": "816-795-6630",
"fax_number": "816-795-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLINGAME",
"first_name": "CARL",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CARL.FILLINGAME@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "19550 E 39th St S Ste 230",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640572309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.