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RICARDO LEMUS
NPI 1073928719
Dentist - General Practice in Joplin, MO

Active since June 20, 2014PECOS Enrolled
431 S NORTHPARK LN, JOPLIN, MO 64801(713) 703-3296 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ricardo Lemus NPPES

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

RICARDO LEMUS (NPI 1073928719) is an individual general practice provider in Joplin, Missouri, licensed in Missouri (2014018841) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburg.

NPPES Registry Identity

NPI1073928719
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICARDO LEMUS
Location Address431 S NORTHPARK LNJoplin, MO 64801-8441
Mailing Address530 S Maiden LnJoplin, MO 64801-3084 · (417) 782-6200
Phone(713) 703-3296
Sole ProprietorNo
Enumeration DateJune 20, 2014
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedAugust 5, 2020
✔ NPI 1073928719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MO · 2014018841✔ Licensed in KS · 61273
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
431 S NORTHPARK LN, Joplin, MO 64801
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Secondary Practice Location 1

Location 13011 N Michigan StPittsburg, KS 66762-2546 · Phone (620) 231-9873

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Ricardo Lemus 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.

Medicare Billing Reassignment

Medicare enrollment records show Ricardo Lemus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Southeast Kansas Inc
15 mi
Federally Qualified Health Center (FQHC)
100 N MILITARY AVE
Baxter Springs, KS 66713
  • Reassigned Medicare billing, Kansas enrollment
  • 177 clinicians in this Medicare group
NPI 1487351086 (888) 777-9170

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64801 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
$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.

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 Ricardo Lemus's NPI number?

The NPI number for Ricardo Lemus is 1073928719. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Ricardo Lemus located?

Ricardo Lemus practices at 431 S Northpark Ln, Joplin, MO 64801. The listed phone number is (713) 703-3296.

What is Ricardo Lemus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ricardo Lemus enrolled in Medicare?

Yes. Ricardo Lemus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ricardo Lemus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Lemus reassigns Medicare benefits to Community Health Center Of Southeast Kansas Inc (Baxter Springs, KS). The 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 Ricardo Lemus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Lemus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 13 other insurers list Ricardo Lemus 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.

When was this NPI record last updated?

The NPPES record for Ricardo Lemus was last updated on January 15, 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.