Individual provider Active NPI

Carl F Painter III, MD

  • Orthopaedic Surgery Physician
  • Breese, IL
National Provider Identifier
1689669111
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036101536 Issued in IL
Practice address
14017 Jamestown Rd
Breese, IL 62230-3647
Phone
(618) 526-7154
Fax
(618) 526-8248
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21533 OK
Orthopaedic Surgery Physician 207X00000X 036101536 IL Primary

Addresses

Primary practice location

14017 Jamestown Rd
Breese, IL 62230-3647

Mailing address

14017 Jamestown Rd
Breese, IL 62230-3647
Phone (618) 526-7154

Other practice location 1

4140 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-1653

Other identifiers 2

IdentifierTypeStateIssuer
100192510AMedicaidOK
036101536MedicaidIL

Other names 1

  • Dr. Tracy Painter III Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tpainter101410@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, IL, KS, MO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070124000578 OK Practitioner - Orthopedic Surgery 4880652049 Reassigns benefits to 2 organizations
I20140905001639 IL Practitioner - Orthopedic Surgery 4880652049 Reassigns benefits to 1 organization
I20240502001949 KS Practitioner - Orthopedic Surgery 4880652049 Reassigns benefits to 1 organization
I20241209001119 MO Practitioner - Orthopedic Surgery 4880652049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1121 Neo Loop
Mercy Clinic Orthopedics Grove
Grove, OK 74344-6046
Phone (877) 783-4441

12860 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2810

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600

1512 N Green Mount Rd
Suite 108
Ofallon, IL 62269-1953
Phone (618) 624-5510

1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

3125 Dr Russell Smith Way
Mercy Clinic Orthopedics Carthage
Carthage, MO 64836-7402
Phone (877) 783-4441

444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441

9515 Holy Cross Lane
Breese, IL 62230-3618
Phone (618) 526-4511

Hospital & facility affiliations

  • Integris Home Care Northeast Home health agency, Miami, OK, CCN 377050
  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement30
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21533OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare of Oklahoma LLP Orthopaedic Surgery Current Accepting new patients
In Home 2 Heal LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Apr 15, 2024 Accepting new patients
HSHS Medical Group Inc CurrentSince Mar 5, 2026 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Apr 15, 2024 Accepting new patients
Pinnacle Healthcare of Oklahoma LLP Orthopaedic Surgery Current Accepting new patients
Regional Orthopedic Associates PC Orthopaedic Surgery PastSince Jul 1, 2003 Accepting new patients

Locations

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441

2701 S Rouse St
Pittsburg, KS 66762
Phone (620) 232-3399

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

4140 SE Adams Rd
Ste 102
Bartlesville, OK 74006
Phone (918) 331-1653

1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

10512 N 110th East Ave
Ste 220
Owasso, OK 74055
Phone (918) 516-1919

Interoperability endpoints

  • Direct secure messaging: tpainter101410@ewd.direct.hshs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1689669111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14017 JAMESTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303647",
            "telephone_number": "618-526-7154",
            "fax_number": "618-526-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 JAMESTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303647",
            "telephone_number": "618-526-7154",
            "fax_number": "618-526-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 SE Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "74006",
            "country_code": "US",
            "telephone_number": "918-331-1653",
            "fax_number": "918-331-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "CARL",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "21533",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036101536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100192510A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101536",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tpainter101410@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "14017 Jamestown Rd",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PAINTER",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.