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DR. JUSTIN JAMES DILLINGHAM D.O.
NPI 1003103490
Family Medicine in Joplin, MO

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
3126 S JACKSON AVE, STE 101, JOPLIN, MO 64804(417) 208-3465 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin James Dillingham D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN JAMES DILLINGHAM D.O. (NPI 1003103490) is an individual family medicine provider in Joplin, Missouri, licensed in Missouri (2014010517) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003103490
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN JAMES DILLINGHAMCredential: D.O.
Location Address3126 S JACKSON AVE, STE 101Joplin, MO 64804-2534
Mailing Address3126 S Jackson Ave, Ste 101Joplin, MO 64804-2534 · (417) 208-3465
Phone(417) 208-3465
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateNovember 7, 2014
✔ NPI 1003103490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2014010517
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3126 S JACKSON AVE, Joplin, MO 64804
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Other Identifiers 2

Medicaid1003103490MO
Medicare PINMA2082380MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin James Dillingham D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648495838
PECOS Enrollment IDI20140701002123
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims65 services$6.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers17 claims17 services$98.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims49 services$37.90 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$61.39 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$20.42 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$17.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISHNAMRAJU KOSURU M.D
Pediatrics
3126 S JACKSON AVE, SUITE 100
JOPLIN, MO 64804
Newton County (417) 556-3416
DR. MARIA FE FIEL BRUCE MD
Family Medicine
3126 S JACKSON AVE, SUITE 201
JOPLIN, MO 64804
Newton County (417) 781-4727
REBECCA C MOSS FNP-C
Nurse Practitioner (Family)
3126 S JACKSON AVE, STE 101
JOPLIN, MO 64804
Newton County (417) 781-0408
DR. THOMAS D MCCLAIN M.D.
Orthopaedic Surgery
3126 S JACKSON AVE, SUITE 200
JOPLIN, MO 64804
Newton County (417) 625-2278
MERCY CLINIC JOPLIN LLC
Prosthetic/Orthotic Supplier
3126 S JACKSON AVE, STE 200
JOPLIN, MO 64804
Newton County (417) 625-2278
MS. MONICA M. MCKEE
Physician Assistant
3126 S JACKSON AVE, STE 101
JOPLIN, MO 64804
Newton County (417) 781-0408
DR. WENDELL DALE RANKIN D.O.
Internal Medicine
3126 S JACKSON AVE, STE 200
JOPLIN, MO 64804
Newton County (417) 781-1600
DR. PAUL MILTON OLIVE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3126 S JACKSON AVE, STE 200
JOPLIN, MO 64804
Newton County (417) 625-2278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Dillingham's NPI number?

The NPI number for Justin Dillingham is 1003103490. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Justin Dillingham located?

Justin Dillingham practices at 3126 S Jackson Ave Ste 101, Joplin, MO 64804. The listed phone number is (417) 208-3465.

What is Justin Dillingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Dillingham enrolled in Medicare?

Yes. Justin Dillingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Dillingham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Justin Dillingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Dillingham affiliated with any hospitals?

According to CMS data, Justin Dillingham is affiliated with Freeman Health System - Freeman West and Freeman Neosho Hospital.

When was this NPI record last updated?

The NPPES record for Justin Dillingham was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.