DR. PEARL CARRILLO (DO) – Family Medicine Physician, NPI 1487602991

DR. PEARL CARRILLO (DO) is a healthcare provider. based in Marshall, Missouri. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 2007001548 (MO). The NPI Number for DR. PEARL CARRILLO (DO) is 1487602991

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. PEARL CARRILLO (DO)
NPI
1487602991
Phone
(660) 886-7431
Address
2305 South 65 Highway
Enumeration Date
5 May 2006
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6608867800
Graduation Year
1998 (28 years ago)
PAC ID
9133229222
Group Practice PAC ID
2567351570
Professional Enrollment ID
I20070702000398
Address ID
MO653403702MA2305X65XX400

Contacts

Secure Messaging
PEARLCARRILLO@fitzgibbon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. PEARL CARRILLO (DO)

  • 2305 South 65 Highway

    Marshall, MO 653403702

    Phone: (660) 886-7431

    Fax: (660) 831-3335

    Type: Location

  • 65, Marshall Drive, Stapleford, Bramcote, Nottingham, Nottinghamshire, East Midlands, England, NG9 3LE, United Kingdom

    P O BOX 158

    MARSHALL, MO 653403702

    Phone: (660) 886-7431

    Fax: (660) 886-9001

    Type: Mailing

  • 2305 S HIGHWAY 65 BLDG A

    MARSHALL, MO 653403702

    Phone: (660) 886-7800

    Fax: (660) 831-3306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Novo Nordisk Inc ($24).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-07-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070702000398IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7037$0
99239Hospital discharge day management, more than 30 minutes5753$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3836$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3534$0
View full utilization report →

Insurance plans in this area (ZIP 65340)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567351570View full group profile
NameSpecialtyState
Emergency MedicineMO
Certified Nurse Midwife (Cnm)MO
Orthopedic SurgeryMO
Hospitalist, Family Practice, Emergency Medicine, Internal MedicineMO
Family PracticeOH
Family PracticeMO
Nurse PractitionerMO
Family PracticeMO
Gastroenterology, Internal MedicineMO
Family PracticeVA

Reviews

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Frequently asked questions

What NPI should I save for DR. PEARL CARRILLO (DO)?
Save NPI 1487602991 if you need a stable reference for DR. PEARL CARRILLO (DO).
Is DR. PEARL CARRILLO (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. PEARL CARRILLO (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. PEARL CARRILLO (DO). Clinical services aligned with this taxonomy classification.
Where is DR. PEARL CARRILLO (DO)'s primary listing?
We display Marshall, Missouri because that is what the record indicates for DR. PEARL CARRILLO (DO).
What if Marshall, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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