Active NPI 1689669111 Individual Practitioner Male Practitioner

Dr. Carl F Painter , MD

Orthopaedic Surgery • Breese, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Painter, MD is a certified Orthopaedic Surgery practicing in Breese, IL. With approximately 31 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1995, Dr. Painter delivers high-quality medical care to the local community at 14017 JAMESTOWN RD.

Dr. Painter is affiliated with Mercy Clinic Joplin Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14017 Jamestown Rd

Breese, IL 622303647

Telephone 6185267154

Fax 6185268248

Associated Practice Facility / Clinic

🏢 Hshs Medical Group Inc Facility NPI 1740677533

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Breese, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -1.5 yrs vs City Avg

City Avg: 32.5 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Breese, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Painter (31 Years) 31 Yrs

Breese Specialty Average (32.5 Years) 32.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	473	159	$13.00	$7.11
99213 Established patient office or other outpatient visit, typically 15 minutes	205	145	$132.00	$87.70
20610 Aspiration and/or injection of fluid from large joint	188	151	$203.40	$69.98
73030 X-ray of shoulder, minimum of 2 views	153	102	$80.52	$37.89
73562 X-ray of knee, 3 views	108	89	$100.33	$44.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$184.00	$107.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$188.00	$120.63
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$3596.52	$1365.29
73502 X-ray of hip, 2-3 views	21	20	$91.00	$44.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$424.60	$133.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	252	179	$135.40	$68.25
99213 Established patient office or other outpatient visit, typically 15 minutes	87	67	$135.00	$91.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$201.00	$100.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$203.00	$84.95
20610 Aspiration and/or injection of fluid from large joint	40	37	$186.00	$67.29
J1040 Injection, methylprednisolone acetate, 80 mg	36	34	$23.00	$11.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$313.00	$140.15
27447 Replacement of knee joint, both sides of knee	23	22	$3238.96	$1416.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$201.00	$128.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$398.47	$203.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$203.00	$112.53
29881 Removal of knee cartilage using an endoscope	13	13	$1222.00	$543.58
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$195.00	$104.64
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3104.00	$1385.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	363	259	$135.00	$91.72
20610 Aspiration and/or injection of fluid from large joint	168	133	$186.00	$65.01
J1040 Injection, methylprednisolone acetate, 80 mg	161	123	$23.00	$10.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	129	$201.00	$128.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$313.00	$172.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$203.00	$112.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$387.00	$205.86
27447 Replacement of knee joint, both sides of knee	26	26	$3104.00	$1398.80
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$3104.00	$1400.93
23472 Prosthetic repair of shoulder joint, total shoulder	17	16	$3330.00	$1573.95
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$195.00	$105.47
20600 Aspiration and/or injection of fluid from small joint	14	12	$144.00	$54.19
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2810.00	$1332.43
64721 Release and/or relocation of hand nerve	13	12	$1452.00	$363.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$264.00	$140.27
29881 Removal of knee cartilage using an endoscope	13	13	$1222.00	$527.82
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$11.00	$5.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	519	318	$135.00	$75.54
20610 Aspiration and/or injection of fluid from large joint	125	98	$186.00	$65.46
J1040 Injection, methylprednisolone acetate, 80 mg	57	50	$23.00	$11.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$201.00	$110.86
27447 Replacement of knee joint, both sides of knee	34	33	$3104.00	$1499.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$387.00	$211.80
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$195.00	$108.41
64721 Release and/or relocation of hand nerve	12	12	$1452.00	$401.46
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3104.00	$1499.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	166	$135.00	$73.60
99213 Established patient office or other outpatient visit, typically 15 minutes	158	120	$135.00	$52.54
20610 Aspiration and/or injection of fluid from large joint	107	84	$186.00	$61.35
20610 Aspiration and/or injection of fluid from large joint	98	83	$187.43	$49.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	69	$81.00	$44.76
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$136.24	$52.12
27447 Replacement of knee joint, both sides of knee	28	27	$4011.50	$1482.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$203.00	$78.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$203.00	$109.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$264.00	$142.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$201.00	$103.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$201.00	$80.83
29881 Removal of knee cartilage using an endoscope	18	18	$1671.78	$514.51
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$3471.88	$1483.03
64721 Release and/or relocation of hand nerve	16	15	$1452.00	$425.59
26055 Incision of tendon covering	15	11	$1845.00	$278.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	426	262	$134.92	$51.85
20610 Aspiration and/or injection of fluid from large joint	260	183	$184.58	$49.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$203.00	$78.78
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$137.00	$51.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$201.00	$80.19
27447 Replacement of knee joint, both sides of knee	36	33	$5414.00	$1484.38
20550 Injection into tendon or ligament	22	21	$193.00	$41.62
27130 Replacement of thigh bone and hip joint with prosthesis	17	14	$5066.00	$1417.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$81.00	$25.93
29881 Removal of knee cartilage using an endoscope	14	14	$2234.00	$549.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$254.57	$140.54
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$2315.00	$193.01
20600 Aspiration and/or injection of fluid from small joint	13	11	$144.00	$34.55
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$5139.55	$1558.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	218	166	$185.79	$49.05
99213 Established patient office or other outpatient visit, typically 15 minutes	184	147	$134.82	$51.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$202.68	$79.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	121	$80.87	$25.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	68	$201.00	$79.99
27447 Replacement of knee joint, both sides of knee	29	28	$5414.00	$1466.25
20550 Injection into tendon or ligament	20	18	$193.00	$41.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$264.00	$140.45
29881 Removal of knee cartilage using an endoscope	17	17	$2234.00	$544.80
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$137.00	$51.33
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$5259.00	$1537.10
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$5066.00	$1467.03

Medical Specialties & State Licenses

CMS Verified: 2026-05-04

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036101536

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License OK 21533

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100192510A (OK)

Medicaid State Provider ID

036101536 (IL)

Hospital & Practice Group Affiliations

Mercy Clinic Joplin Llc

1121 Neo Loop, Grove, OK 743446046

Phone: 8777834441

Mercy Clinic Joplin Llc

444 Four States Dr, Galena, KS 667394325

Phone: 8777834441

Mercy Clinic Joplin Llc

3125 Dr Russell Smith Way, Carthage, MO 648367402

Phone: 8777834441

Secondary Practice Locations

4140 Se Adams Rd

Bartlesville, OK 74006

Phone: 9183311653

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Austin Mueller , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1245963008

Doctor of Podiatric Medicine

Melanie Banal , NP-C

Nurse Practitioner

NPI 1770986010

Nurse Practitioner (Certified)

Dr. David Kee , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1992772289

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 04, 2026

Registered at 14017 JAMESTOWN RD, BREESE, IL 622303647 (Tel: 6185267154)

📍

Updated Business Mailing Address May 04, 2026

Registered at 14017 JAMESTOWN RD, BREESE, IL 622303647 (Tel: 6185267154)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2026

Orthopaedic Surgery (License #21533 in OK)

✅

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2014

Registered at 4140 SE ADAMS RD, BARTLESVILLE, OK 74006 (Tel: 9183311653)

📍

Updated Business Mailing Address August 21, 2014

Registered at 725 SAINT FRANCIS WAY, LITCHFIELD, IL 620561780 (Tel: 2173248798)

👤

Provider Name / Credentials Updated August 21, 2014

Recorded as CARL PAINTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Orthopaedic Surgery (License #036101536 in IL)

🟢

Initial NPI Registration & Enumeration September 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689669111

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 12, 2005

Last Update: May 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14017 Jamestown Rd

Breese, IL 622303647

Phone: 6185267154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.