Carisa Petris, M.D.
Carisa Petris, M.D. is an Ophthalmic Plastic and Reconstructive Surgery Physician in Columbia, MO, registered under NPI 1962630673. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1 HOSPITAL DR, Columbia, MO 65201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| T2009017018 | MO | Ophthalmic Plastic and Reconstructive… primary |
| T2009017018 | MO | Internal Medicine Physician |
This provider holds licence T2009017018 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Ophthalmology
- PAC ID
- 2961645395
- Enrollment ID
- I20150811004446
Medicare enrolment is recorded as approved under the provider type Practitioner - Ophthalmology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Ophthalmic Plastic and Reconstructive Surgery covers
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. NUCC Health Care Provider Taxonomy, code 207WX0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician Ophthalmic Plastic and Reconstructive Surgery | T2009017018 | MO | primary |
| 207R00000X | Internal Medicine Physician | T2009017018 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1962630673 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 1, 2009 |
| Last updated | Jun 6, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
1 HOSPITAL DR Columbia, MO 65201 (573) 882-8885 Fax (573) 884-4808 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 6 | 3 | 0 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 3 | 3 | 0 | 6 | 5 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.