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ETHAN REZNICEK MD
NPI 1174059661
Emergency Medicine in Joplin, MO

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment
100 MERCY WAY STE 1400, JOPLIN, MO 64804(417) 556-2300 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Reznicek Md NPPES

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

ETHAN REZNICEK MD (NPI 1174059661) is an individual emergency medicine provider in Joplin, Missouri, licensed in Missouri (2021037224) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174059661
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameETHAN REZNICEKCredential: MD
Location Address100 MERCY WAY STE 1400Joplin, MO 64804-4524
Mailing Address100 Mercy Way Ste 1400Joplin, MO 64804-4524 · (417) 556-2300
Phone(417) 556-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 3, 2017
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1174059661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2021037224
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 MERCY WAY STE 1400, Joplin, MO 64804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Ethan Reznicek 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 ID9931446150
PECOS Enrollment IDI20210927002402
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
257 services250 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services87 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services75 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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.

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 Ethan Reznicek's NPI number?

The NPI number for Ethan Reznicek is 1174059661. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Ethan Reznicek located?

Ethan Reznicek practices at 100 Mercy Way Ste 1400, Joplin, MO 64804. The listed phone number is (417) 556-2300.

What is Ethan Reznicek's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ethan Reznicek enrolled in Medicare?

Yes. Ethan Reznicek 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 Ethan Reznicek accept?

Health plans from Medica list Ethan Reznicek 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 Ethan Reznicek affiliated with any hospitals?

According to CMS data, Ethan Reznicek is affiliated with Mercy Hospital Joplin.

When was this NPI record last updated?

The NPPES record for Ethan Reznicek was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.