Active NPI
Carl F Painter III, MD
- Orthopaedic Surgery Physician
- Breese, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036101536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100192510A | Medicaid | OK | |
| 036101536 | Medicaid | IL |
Other names 1
- Dr. Tracy Painter III
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tpainter101410@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, IL, KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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 LLC
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
- Mercy Specialty Hospital Southeast Kansas
- Mercy Hospital Joplin
- HSHS Holy Family Hospital Inc
- Mercy Hospital Carthage
- HSHS St Elizabeth'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 19 |
| Knee replacement | 30 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21533 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare of Oklahoma LLP | Orthopaedic Surgery | Current | Accepting new patients |
| In Home 2 Heal LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Pinnacle Healthcare of Oklahoma LLP | Orthopaedic Surgery | Current | Accepting new patients |
| Regional Orthopedic Associates PC | Orthopaedic Surgery | Past | 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
- tpainter101410@ewd.direct.hshs.org
- 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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- General Practice Physician
- Afton, OK
- NPI 1649083031
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Orthopaedic Surgery Physician
- Owasso, OK
- NPI 1679663140
-
- Orthopaedic Surgery Physician
- Bartlesville, OK
- NPI 1437144342
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Orthopaedic Surgery Physician
- Bartlesville, OK
- NPI 1750607651
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Home Health Agency
- Grove, OK
- NPI 1407860190
-
- Home Health Agency
- Miami, OK
- NPI 1194748319
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Special Hospital
- Galena, KS
- NPI 1992341473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.