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

Todd Phillip Decarlis, PA

Individual provider Surgical Physician Assistant · NPI 1598004152

Todd Phillip Decarlis, PA is a Physician Assistant in Springfield, Missouri. Qualified in 2012, 14 years ago. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2900 S National Ave
Springfield, MO 65804-3634
Phone: (417) 885-3888
Fax: (417) 881-7638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2013003532 (MO)

Record details

NPI number1598004152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 1, 2013
Last updated in NPPESFebruary 1, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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