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: July 26, 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
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

Accepted 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. 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.

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.

Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Clinic/Center (Rural Health)
336 S JEFFERSON ST
NEOSHO, MO 64850
Social Worker (Clinical)
336 S JEFFERSON ST
NEOSHO, MO 64850
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
336 S JEFFERSON ST
NEOSHO, MO 64850
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Internal Medicine
336 S JEFFERSON ST
NEOSHO, MO 64850
Pharmacy (Community/Retail Pharmacy)
336 S JEFFERSON ST
NEOSHO, MO 64850

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.

What insurance does Gerald Englund 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 6 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 with the weekly NPPES data releases published by CMS.