DR. WILLIAM RUSSELL DETTEN D.O.
NPI 1033229935
Family Medicine in Springfield, MO

Active since August 30, 2006PECOS Enrolled
1530 E REPUBLIC RD, SPRINGFIELD, MO 65804(417) 269-1362(417) 269-1372 Get Directions Write a Review

NPPES record last updated: November 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Russell Detten D.o. NPPES

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

DR. WILLIAM RUSSELL DETTEN D.O. (NPI 1033229935) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (R4P90) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033229935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM RUSSELL DETTENCredential: D.O.
Location Address1530 E REPUBLIC RDSpringfield, MO 65804-6530
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-1362 · Fax (417) 269-1372
Fax(417) 269-1372
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 12, 2012
NPI 1033229935 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 · R4P90
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.
1530 E REPUBLIC RD, Springfield, MO 65804

Other Identifiers 7

Medicare PINP00372128
Other5716Blue Cross Mo
Medicare PIN917185132
Medicaid246778419MO
Medicare PIN004012299
Medicare UPINF29291
Medicare PIN080072355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. William Russell Detten D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.74 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$210.99 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 20

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

Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Physician Assistant (Medical)
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804
Family Medicine
1530 E REPUBLIC RD
SPRINGFIELD, MO 65804

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 William Detten's NPI number?

The NPI number for William Detten is 1033229935. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is William Detten located?

William Detten practices at 1530 E Republic Rd, Springfield, MO 65804. The listed phone number is (417) 269-1362.

What is William Detten's specialty?

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

Is William Detten enrolled in Medicare?

Yes. William Detten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Detten was last updated on November 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.