DR. JOHN G SOUTHARD MD
NPI 1104967090
Internal Medicine - Pulmonary Disease in Council Bluffs, IA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
1 EDMUNDSON PL, SUITE 312, COUNCIL BLUFFS, IA 51503(712) 396-4295(712) 396-4298 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John G Southard Md NPPES

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

DR. JOHN G SOUTHARD MD (NPI 1104967090) is an individual pulmonary disease provider in Council Bluffs, Iowa, licensed in Iowa (22453) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Creighton University School Of Medicine (1978).

NPPES Registry Identity

NPI1104967090
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOHN G SOUTHARDCredential: MD
Location Address1 EDMUNDSON PL, SUITE 312Council Bluffs, IA 51503-4658
Mailing Address1 Edmundson Pl, Suite 312Council Bluffs, IA 51503-4658 · (712) 396-4295 · Fax (712) 396-4298
Fax(712) 396-4298
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1978
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104967090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IA · 22453
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1 EDMUNDSON PL, Council Bluffs, IA 51503

Other Identifiers 4

Medicare UPINA01998
Medicaid1133413IA
Medicare ID-Type UnspecifiedI6347IA
Other47244IA · Blue Cross Blue Shield

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. John G Southard Md 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 ID9537051503
PECOS Enrollment IDI20100305000850
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,870 services41 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,352 services62 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
868 services114 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.
865 services445 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
843 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
122 services122 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161374
Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County
Emergency services Birthing friendly

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 36

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers142 claims143 services$34.07 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers67 claims124 services$1.40 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers38 claims38 services$11.31 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
3 suppliers11 claims15 services$0.46 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers16 claims17 services$1.03 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers207 claims208 services$80.38 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.

Specialist
1 EDMUNDSON PL, SUITE 100
COUNCIL BLUFFS, IA 51503
Specialist
1 EDMUNDSON PL, SUITE 100
COUNCIL BLUFFS, IA 51503
Orthopaedic Surgery
1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503
Podiatrist
1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503
Orthopaedic Surgery
1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503
Orthopaedic Surgery
1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503
Orthopaedic Surgery
1 EDMUNDSON PL, STE 500
COUNCIL BLUFFS, IA 51503
Surgery (Surgery of the Hand)
1 EDMUNDSON PL, SUITE 500
COUNCIL BLUFFS, IA 51503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104967090, enumerated as an "individual" on February 12, 2007.

The provider is located at 1 EDMUNDSON PL SUITE 312 COUNCIL BLUFFS, IA 51503 and the phone number is (712) 396-4295.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.

John Southard is affiliated with: METHODIST JENNIE EDMUNDSON, MYRTUE MEDICAL CENTER and CASS COUNTY MEMORIAL HOSPITAL.