Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Matthew Pesta, DO

Individual provider Surgery Physician · NPI 1114983913

Carl Matthew Pesta, DO is a General Surgery in Mount Clemens, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1996, 30 years ago. Practices with Regional Trauma Care PC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1030 Harrington St 302A
Mount Clemens, MI 48043-2967
Phone: (586) 759-2005
Fax: (586) 759-2636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101013083 (MI)

Record details

NPI number1114983913
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESMay 26, 2015
Mailing address1030 Harrington St, Suite 302a, Mount Clemens, MI 48043-2967

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice Regional Trauma Care Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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