Kevin Michael Carpenter, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

28759 Issued in IA

Practice address

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Phone

(319) 399-2022

Fax

(319) 399-2014

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Otolaryngology

Education

University of Iowa, RJ & L Carver College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buchanan County Health Center Hospital, Independence, IA, CCN 161335

Merit-based Incentive Payment System (MIPS)

Final score

83.5 of 100Reported as group

Quality

68.67

Promoting interoperability

100

Improvement activities

40

Cost

76.34

Merit-based Incentive Payment System (MIPS)

Final score

50.17 of 100Reported as apm

Quality

55.61

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
• Direct secure messaging: kcarpenter40406@direct.unitypoint.org

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.

• People'S Memorial Hospital

  • Emergency Medicine Physician
  • Independence, IA
  • NPI 1336281245
  Medicare reassignment Care Compare group NPD
• Physicians' Clinic of Iowa, PC

  • Surgery Physician
  • Cedar Rapids, IA
  • NPI 1821075599
  Medicare reassignment NPD
• People'S Memorial Hospital

  • Community/Retail Pharmacy
  • Oelwein, IA
  • NPI 1588274302
  NPD
• Physicians Clinic of Iowa, PC

  • Specialty Pharmacy
  • Cedar Rapids, IA
  • NPI 1295064111
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• People'S Memorial Hospital

  • Rural Health Clinic/Center
  • Oelwein, IA
  • NPI 1558920447
  NPD (past)

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

• People'S Memorial Hospital

  • Critical Access Hospital
  • Independence, IA
  • NPI 1265595144
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1629028956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-399-2022",
            "fax_number": "319-399-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IA",
            "license": "28759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "22504",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219329",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Carlson, OTD, OTR/L
• Destinie Carlson
• Ryan Carlson
• Terry Jo Carlson, RN, CADC, LMHC
• Carol Seehusen, PHD, LMHC, LLC
• Martin Wallace Carpenter, MD
• Courtney Carradus, OTR/L
• Lanna Carroll Goodman, LMSW
• Tracy Carstensen
• Tehya Cart

• Otolaryngology/Facial Plastic Surgery Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.