NPI Details
Carisa Petris, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Columbia, MO with 17 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Carisa Petris, M.D. NPI is 1962630673. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2009
The provider's business location address is:
1 HOSPITAL DR
COLUMBIA, MO
ZIP 65201-276
Phone: (573) 882-8885
Fax: (573) 884-4808
The NPI 1962630673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Photography of content of eyes (HCPCS:92285)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Exam of visual field with extended testing (HCPCS:92083)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Removal of growth of eyelid (HCPCS:67840)
- Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
- Probing of nasal tear duct (HCPCS:68840)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/1/2009 and was last updated on 6/6/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | T2009017018 | MISSOURI | No |
| 2 | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | T2009017018 | MISSOURI | Yes |