Active NPI 1699832873 Individual Practitioner Male Practitioner

Dr. Carl Richard Earnest , MD

Internal Medicine • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Earnest, MD is a certified Internal Medicine practicing in Longview, TX. With approximately 31 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1995, Dr. Earnest delivers high-quality medical care to the local community at 703 E MARSHALL AVE.

Dr. Earnest is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 E Marshall Ave
Suite 1001

Longview, TX 756015500

Telephone 9037537291

Fax 9033155000

Associated Practice Facility / Clinic

🏢 Good Shepherd Ambulatory Surgical Center Ltd Facility NPI 1255317384

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Longview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

103 Specialists

Practicing in Longview, TX (9538 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Earnest (31 Years) 31 Yrs

Longview Specialty Average (20.8 Years) 20.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	396	$289.00	$94.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	512	512	$295.00	$128.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	509	123	$90.45	$48.48
99213 Established patient office or other outpatient visit, typically 15 minutes	386	272	$204.00	$63.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	117	109	$18.80	$15.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	57	$159.00	$77.48
99238 Hospital discharge day management, 30 minutes or less	89	87	$160.00	$79.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	75	$300.00	$126.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	48	34	$91.00	$40.78
99495 Transitional care management services for problem of at least moderate complexity	46	39	$463.00	$137.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	41	$119.00	$52.40
20610 Aspiration and/or injection of fluid from large joint	23	21	$221.00	$43.57
99442 Telephone medical discussion with physician, 11-20 minutes	16	13	$204.00	$64.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	15	$152.00	$73.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$377.00	$129.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	791	155	$86.00	$48.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	346	$289.00	$94.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	524	524	$295.00	$126.47
99213 Established patient office or other outpatient visit, typically 15 minutes	421	305	$204.00	$63.87
99238 Hospital discharge day management, 30 minutes or less	148	142	$160.00	$78.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	121	116	$300.00	$125.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	66	$159.00	$77.43
99495 Transitional care management services for problem of at least moderate complexity	68	55	$463.00	$136.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	42	$119.00	$50.90
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	28	$91.00	$40.18
20610 Aspiration and/or injection of fluid from large joint	27	25	$221.00	$43.09
99442 Telephone medical discussion with physician, 11-20 minutes	14	12	$204.00	$64.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	897	151	$86.47	$36.84
99213 Established patient office or other outpatient visit, typically 15 minutes	662	376	$179.12	$64.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	518	518	$275.91	$127.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	231	$259.80	$94.25
99238 Hospital discharge day management, 30 minutes or less	146	143	$160.00	$68.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	117	$300.00	$126.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	72	$159.54	$66.62
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	68	42	$89.85	$39.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	38	$117.72	$51.31
99495 Transitional care management services for problem of at least moderate complexity	38	35	$420.37	$139.10
99442 Telephone medical discussion with physician, 11-20 minutes	26	23	$170.92	$64.93
20610 Aspiration and/or injection of fluid from large joint	19	17	$219.53	$43.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$368.92	$129.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	773	162	$87.00	$37.61
99213 Established patient office or other outpatient visit, typically 15 minutes	681	415	$161.00	$65.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	535	535	$252.00	$130.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	203	$236.00	$96.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	234	118	$160.00	$70.30
99238 Hospital discharge day management, 30 minutes or less	181	165	$160.00	$70.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	96	$300.00	$127.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	102	54	$89.00	$40.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	48	$116.00	$51.93
99442 Telephone medical discussion with physician, 11-20 minutes	49	40	$161.00	$66.41
99495 Transitional care management services for problem of at least moderate complexity	33	30	$355.00	$142.36
20610 Aspiration and/or injection of fluid from large joint	23	21	$219.39	$45.61
99217 Hospital observation care on day of discharge	22	22	$160.00	$70.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$362.00	$133.60
99219 Hospital observation care, typically 50 minutes	16	16	$298.00	$131.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,391	254	$86.51	$39.14
99213 Established patient office or other outpatient visit, typically 15 minutes	760	450	$164.68	$50.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	474	474	$231.89	$114.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	304	130	$156.26	$72.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	184	$219.87	$78.17
99238 Hospital discharge day management, 30 minutes or less	235	196	$189.37	$72.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	162	156	$289.24	$117.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	129	55	$101.11	$40.22
99442 Telephone medical discussion with physician, 11-20 minutes	97	77	$157.98	$51.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	58	56	$131.93	$52.43
99495 Transitional care management services for problem of at least moderate complexity	42	41	$414.52	$122.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$418.67	$181.31
20610 Aspiration and/or injection of fluid from large joint	23	19	$223.13	$46.80
99217 Hospital observation care on day of discharge	20	20	$156.15	$72.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$332.00	$127.01
99224 Subsequent observation care, typically 15 minutes per day	14	11	$80.00	$39.53
99219 Hospital observation care, typically 50 minutes	13	12	$267.23	$135.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,427	294	$86.00	$38.66
99213 Established patient office or other outpatient visit, typically 15 minutes	872	500	$168.00	$49.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	535	535	$207.49	$112.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	224	$206.00	$77.20
99238 Hospital discharge day management, 30 minutes or less	229	202	$218.00	$71.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	80	$152.00	$71.51
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	133	58	$111.00	$39.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	132	124	$279.00	$112.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	62	$144.00	$51.70
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$193.00	$86.18
99495 Transitional care management services for problem of at least moderate complexity	26	23	$487.62	$104.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$298.83	$124.85
99496 Transitional care management services for problem of high complexity	24	23	$678.00	$157.41
99217 Hospital observation care on day of discharge	18	18	$153.00	$68.73
20610 Aspiration and/or injection of fluid from large joint	17	17	$221.00	$45.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,221	246	$86.00	$38.25
99213 Established patient office or other outpatient visit, typically 15 minutes	512	378	$168.00	$49.50
36415 Insertion of needle into vein for collection of blood sample	505	432	$19.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	482	386	$168.00	$70.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$207.00	$112.32
85610 Blood test, clotting time	243	30	$17.00	$4.75
99238 Hospital discharge day management, 30 minutes or less	231	191	$218.00	$70.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$207.00	$112.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	73	$152.00	$70.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	127	$206.00	$102.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	137	62	$111.00	$40.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	134	129	$279.00	$108.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	99	$206.00	$76.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	55	$144.00	$51.75
G0009 Administration of pneumococcal vaccine	69	69	$44.00	$19.51
90670 Pneumococcal vaccine for injection into muscle	54	54	$819.00	$198.52
99221 Initial hospital inpatient care per day, typically 30 minutes	42	36	$193.00	$84.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	33	19	$16.00	$7.39
99217 Hospital observation care on day of discharge	15	14	$153.00	$67.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$115.00	$105.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$367.00	$181.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$306.00	$165.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$49.00	$19.74
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$298.00	$160.76
99220 Hospital observation care, typically 70 minutes	12	12	$336.00	$181.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$298.00	$123.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,335	221	$192.07	$70.03
36415 Insertion of needle into vein for collection of blood sample	1,229	716	$11.49	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	818	491	$195.76	$69.12
85610 Blood test, clotting time	497	41	$14.46	$5.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	421	421	$289.77	$110.34
80053 Blood test, comprehensive group of blood chemicals	397	382	$35.65	$11.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	373	37	$54.01	$19.00
80061 Blood test, lipids (cholesterol and triglycerides)	361	357	$44.56	$14.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	275	91	$103.37	$38.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	244	211	$26.11	$10.45
99238 Hospital discharge day management, 30 minutes or less	241	196	$214.11	$70.13
83036 Hemoglobin A1C level	188	146	$31.44	$13.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	146	$276.89	$101.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	152	146	$368.50	$104.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	152	70	$120.18	$39.49
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	144	78	$20.97	$6.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	123	123	$446.56	$163.57
G0008 Administration of influenza virus vaccine	104	103	$31.35	$23.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	104	103	$32.63	$18.65
84443 Blood test, thyroid stimulating hormone (TSH)	80	79	$56.95	$22.59
80048 Blood test, basic group of blood chemicals (calcium, total)	74	66	$28.68	$10.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	70	66	$160.63	$51.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	52	$62.35	$24.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	61	61	$63.08	$24.73
81001 Manual urinalysis test with examination using microscope, automated	53	48	$10.11	$4.26
G0009 Administration of pneumococcal vaccine	52	52	$54.50	$23.91
J1030 Injection, methylprednisolone acetate, 40 mg	45	34	$13.62	$5.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$124.38	$41.62
82306 Vitamin d-3 level	36	36	$95.58	$36.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	35	35	$118.77	$92.86
99496 Transitional care management services for problem of high complexity	31	28	$550.58	$214.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$433.84	$159.00
20550 Injection into tendon or ligament	28	23	$168.43	$49.85
99217 Hospital observation care on day of discharge	27	25	$197.85	$70.41
69209 Removal of impacted ear wax by washing	27	27	$33.26	$13.37
99220 Hospital observation care, typically 70 minutes	24	22	$470.71	$174.21
82607 Cyanocobalamin (vitamin B-12) level	19	18	$54.63	$20.27
90670 Pneumococcal vaccine for injection into muscle	17	17	$455.35	$184.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$52.93	$8.94
20605 Aspiration and/or injection of medium joint or joint capsule	15	14	$188.13	$51.61
83735 Magnesium level	14	11	$24.00	$9.01
84153 Psa (prostate specific antigen) measurement, total	13	11	$57.23	$24.73

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K8131

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PO86M8038 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

703 E Marshall Ave, Longview, TX 756015500

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

700 E Marshall Ave, Longview, TX 756015580

Phone: 9033151488

Christus Trinity Clinic

1720 S Beckham Ave, Tyler, TX 757014464

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Lawrence Roe , MD

Internal Medicine

NPI 1073670725

Doctor of Medicine (M.D.)

Dr. Khamis Shalabi , MD

Internal Medicine

NPI 1124505300

Doctor of Medicine (M.D.)

Dr. Rodney Slone , MD

Internal Medicine

NPI 1194890681

Doctor of Medicine (M.D.)

Dr. Dan Jones , MD

Internal Medicine

NPI 1326261421

Doctor of Medicine (M.D.)

Lindsey Pierce , PA-C

Physician Assistant

NPI 1376871350

Physician Assistant (Certified)

Dr. Julia Archer , MD

Internal Medicine

NPI 1427115617

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2015

Registered at 703 E MARSHALL AVE, SUITE 1001, LONGVIEW, TX 756015500 (Tel: 9037537291)

📍

Updated Business Mailing Address March 04, 2015

Registered at PO BOX 4207, LONGVIEW, TX 756064207 (Tel: 9037537291)

👤

Provider Name / Credentials Updated March 04, 2015

Recorded as CARL EARNEST, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2015

Internal Medicine (License #K8131 in TX)

🟢

Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699832873

Entity Type:

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

Enumeration Date: January 03, 2007

Last Update: March 04, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4207

Longview, TX 756064207

Phone: 9037537291

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

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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.