MR. CARL WESLEY FILLINGAME (PA) – Surgical Physician Assistant, NPI 1265971733
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for MR. CARL WESLEY FILLINGAME (PA)
East 39th Street South, Independence, Jackson County, Missouri, 64015, United States
INDEPENDENCE, MO 640572309
Phone: (816) 795-6630
Fax: (816) 795-6898
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170810002176 | I | Physician Assistant | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,896 | 143 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 459 | 192 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 344 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 79 | $0 |
| 73562 | X-ray of knee, 3 views | 73 | 70 | $0 |
Insurance plans in this area (ZIP 64057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery, Sports Medicine | MO |
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