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

Michael P. Carlisle, MD

Individual provider Specialist · NPI 1295950376

Michael P. Carlisle, MD is a Plastic and Reconstructive Surgery in West Des Moines, Iowa. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Koch Facial Plastic Surgery PC, a 2-clinician group and accepts Medicare assignment. Licensed in Iowa and Kansas.

Years since qualifying
19
Trained at
Wayne State University School of Medicine
Licensed in
IA, KS
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4855 Mills Civic Pkwy Ste 100
West Des Moines, IA 50265
Phone: (515) 277-5555
Fax: (515) 277-0060
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD-42630 (IA)
Specialist Taxonomy 174400000X · Licence PENDING (KS)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MD-42630 (IA)

Record details

NPI number1295950376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESOctober 30, 2023
Mailing address4855 Mills Civic Pkwy., Ste. 100, West Des Moines, IA 50265

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesOTOLARYNGOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Koch Facial Plastic Surgery Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Des Moines