FREEMAN NEOSHO PHYSICIAN GROUP
NPI 1083045686
Internal Medicine in Neosho, MO
About Freeman Neosho Physician Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREEMAN NEOSHO PHYSICIAN GROUP (NPI 1083045686) is a healthcare organization registered as an internal medicine in Neosho, Missouri and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Steven W Graddy, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Freeman Neosho Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
65Medicare enrollment records show 65 clinicians reassign Medicare billing to Freeman Neosho Physician Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 65Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0957245
Freeman Neosho Physician Group · Neosho, MOCertificate of Waiver 26D0967037
Freeman Neosho Phy Group-Peds · Neosho, MOFrequently 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 Freeman Neosho Hospital's NPI number?
The NPI number for Freeman Neosho Hospital is 1083045686. It was assigned to this organization in the NPPES registry on December 6, 2013. The provider is doing business as Freeman Neosho Physician Group.
Where is Freeman Neosho Hospital located?
Freeman Neosho Hospital is located at 336 S Jefferson St, Neosho, MO 64850. The listed phone number is (417) 347-6605.
What is Freeman Neosho Hospital's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Freeman Neosho Hospital enrolled in Medicare?
Yes. Freeman Neosho Hospital is registered in the Medicare PECOS enrollment system.
When is Freeman Neosho Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Freeman Neosho Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 21 Medicare specialties reassign their Medicare billing to Freeman Neosho Hospital. A 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 the clinician's services. The largest specialties are Nurse Practitioner (22), Family Practice (9) and General Surgery (4). Of these, 3 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Freeman Neosho Hospital hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Freeman Neosho Hospital accept?
Health plans from Anthem Blue Cross and Blue Shield list Freeman Neosho Hospital 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 Freeman Neosho Hospital was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Freeman Neosho Physician Group · NPI 1083045686
Internal Medicine organization in Neosho, Missouri. Organization record, active in the CMS NPPES registry since December 6, 2013.
## Identity
- **NPI:** 1083045686 (Entity type: Organization)
- **Enumerated:** December 6, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Freeman Neosho Hospital
- **Organization subpart:** No
- **Authorized official:** Steven Graddy, CFO
## Practice location
- **Address:** 336 S JEFFERSON ST, Neosho, MO 64850-1769
- **Phone:** (417) 347-6605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 65 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Family Practice (9), General Surgery (4); 3 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1083045686/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2016
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083045686) · Data from the CMS NPPES public registry.