1. Home
  2. Directory
  3. Missouri
  4. Neosho
  5. Obstetrics Gynecology
  6. NPI Profile

DR. GERALD WAYNE ENGLUND D.O.
NPI 1003878141
Obstetrics & Gynecology - Gynecology in Neosho, MO

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
336 S JEFFERSON ST, NEOSHO, MO 64850(417) 455-4200(417) 455-4314 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gerald Wayne Englund D.o. NPPES

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

DR. GERALD WAYNE ENGLUND D.O. (NPI 1003878141) is an individual gynecology provider in Neosho, Missouri, licensed in Missouri (R5N45) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1982).

NPPES Registry Identity

NPI1003878141
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. GERALD WAYNE ENGLUNDCredential: D.O.
Location Address336 S JEFFERSON STNeosho, MO 64850-1769
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 455-4200 · Fax (417) 455-4314
Phone(417) 455-4200
Fax(417) 455-4314
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1982
Enumeration DateApril 4, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1003878141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MO · R5N45
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
336 S JEFFERSON ST, Neosho, MO 64850
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gerald Wayne Englund 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 ID1759413370
PECOS Enrollment IDI20100717000253
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gerald Englund reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeman Neosho Hospital
0.3 mi
Critical Access
113 W HICKORY ST
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1083045686 (Missouri)
  • 63 clinicians in this Medicare group
NPI 1598873796 (417) 347-1234
Ozark Tri-County Health Care Consortium
3.4 mi
Federally Qualified Health Center (FQHC)
1504A N BUSINESS 49
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
  • 66 clinicians in this Medicare group
NPI 1508168782 (417) 451-4447
Freeman-Oak Hill Health System
15 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 64850 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 20

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

JACOB MARTIN EDGE DO
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4200
FREEMAN NEOSHO HOSPITAL
Clinic/Center (Rural Health)
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4200
VICTORIA G STEPHENS LCSW
Social Worker (Clinical)
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4200
FREEMAN-OAK HILL HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 347-4296
FREEMAN NEOSHO HOSPITAL
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 347-6605
MELANIE SUSAN AKUNA MD
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4200
DR. SHELBY L TINNEY-EDGE DO
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4200
FREEMAN-OAK HILL HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
336 S JEFFERSON ST
NEOSHO, MO 64850
Newton County (417) 455-4378

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 Gerald Englund's NPI number?

The NPI number for Gerald Englund is 1003878141. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Gerald Englund located?

Gerald Englund practices at 336 S Jefferson St, Neosho, MO 64850. The listed phone number is (417) 455-4200.

What is Gerald Englund's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Gerald Englund enrolled in Medicare?

Yes. Gerald Englund 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.

Which organizations bill Medicare for Gerald Englund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Englund reassigns Medicare benefits to 3 organizations: Freeman Neosho Hospital (Neosho, MO), Ozark Tri-County Health Care Consortium (Neosho, MO) and Freeman-Oak Hill Health System (Joplin, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerald Englund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Englund accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Gerald Englund 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 Gerald Englund affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Gerald Englund was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.