NATHANIEL M PHELAN MD
NPI 1225327422
Dermatology in Joplin, MO

Q: What is Nathaniel Phelan's NPI number?

The NPI number for Nathaniel Phelan is 1225327422. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Q: What is Nathaniel Phelan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Phelan was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

520 E 32ND ST, JOPLIN, MO 64804(417) 622-0293(833) 275-1784 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Dec 18, 2024, Sep 15, 2022 and 4 more (7 updates tracked since 2016).

On this page

About Nathaniel M Phelan Md NPPES

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

NATHANIEL M PHELAN MD (NPI 1225327422) is an individual dermatology provider in Joplin, Missouri, licensed in Missouri (2018014111) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and maintains a secondary practice location in Pineville.

NPPES Registry Identity

NPI1225327422

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameNATHANIEL M PHELANCredential: MD

Location Address520 E 32ND STJoplin, MO 64804-3904

Mailing Address520 E 32nd StJoplin, MO 64804-3904 · (417) 622-0293 · Fax (833) 275-1784

Phone(417) 622-0293

Fax(833) 275-1784

Sole ProprietorYes

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2011

Enumeration DateMarch 29, 2011

Last NPPES UpdateDecember 27, 20247 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1225327422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MO · 2018014111

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 2018014111 (MO)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 2018014111 (MO)

520 E 32ND ST, Joplin, MO 64804

Open in Google Maps ↗

Secondary Practice Location 1

Location 121088 US Business Highway 71, #7Pineville, MO 64856 · Phone (417) 622-0293 · Fax (833) 275-1784

Other Identifiers 1

Other2018014111MO · Dermatology

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Nathaniel M Phelan 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 ID2769799535

PECOS Enrollment IDI20200911001609

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 Nathaniel Phelan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phelan Dermatology & Aesthetics

Same address

Dermatology

520 E 32ND ST
Joplin, MO 64804

Reassigned Medicare billing, Missouri enrollment
3 clinicians in this Medicare group

NPI 1942881677 (417) 622-0293

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

Areas of Expertise CMS Part B claims 32

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.

Injection, tildrakizumab, 1 mg J3245

Tildrakizumab is a medication injected under the skin to treat moderate to severe plaque psoriasis, a skin condition. It works by reducing the effects of a substance in the body that can cause inflammation.

6,600 services20 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

719 services164 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

452 services350 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.

402 services310 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.

290 services51 patients

Membrane graft or membrane wrap, per square centimeter Q4205

A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.

280 services28 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

269 services233 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.

210 services210 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

194 services175 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

175 services175 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

113 services56 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

111 services91 patients

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302

This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.

86 services80 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

61 services24 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

60 services55 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

58 services54 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311

This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.

56 services54 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

54 services53 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

47 services44 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

37 services35 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11312

This procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth being treated is between 1.1 and 2.0 cm in size. The process is typically quick, with minimal discomfort, and aids in maintaining skin health.

36 services35 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11307

This procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.

32 services30 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

31 services24 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

25 services25 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

24 services24 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11306

This procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.

19 services18 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

19 services16 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11310

This procedure involves the careful removal of a small skin growth on the face or related areas. A medical professional uses a special tool to gently shave off the growth, which is 0.5 cm or less. It's a common, safe procedure.

17 services17 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

14 services14 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

13 services13 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm 12034

This procedure involves the repair of a moderate-sized wound (7.6-12.5 cm) on the scalp, underarms, trunk, arms, or legs. It includes cleaning, removing damaged tissue, and stitching the wound to promote healing. Local anesthesia is used for comfort.

13 services13 patients

Shaving of skin growth of body, arms, or legs, more than 2.0 cm 11303

This procedure involves the removal of a skin growth on your body, arms, or legs that is over 2.0 cm. A special tool is used to shave off the growth, often under local anesthesia. It's a routine, safe process to maintain skin health.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260137

Location1102 West 32nd StreetJoplin, 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

$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%378 patients

Cervical Cancer Screening

0%1,216 patients1/55-star benchmark: 98%

e-Prescribing

100%6,067 patients5/55-star benchmark: 100%

HIV Screening

6%2,580 patients1/55-star benchmark: 60%

Provide Patients Electronic Access to Their Health Information

100%1,409 patients5/55-star benchmark: 100%

Support Electronic Referral Loops By Receiving and Reconciling Health Information

100%505 patients5/55-star benchmark: 98%

Support Electronic Referral Loops By Sending Health Information

100%274 patients5/55-star benchmark: 97%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,188 patients

Patients totalRate: 0% · 1,188 patients

0%1,188 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

REGIONAL PLASTIC & RECONSTRUCTIVE

Specialist

520 E 32ND ST
JOPLIN, MO 64804

Newton County (417) 782-3100

PHELAN DERMATOLOGY & AESTHETICS

Dermatology

520 E 32ND ST
JOPLIN, MO 64804

Newton County (417) 622-0293

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 Nathaniel Phelan's NPI number?

The NPI number for Nathaniel Phelan is 1225327422. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Nathaniel Phelan located?

Nathaniel Phelan practices at 520 E 32nd St, Joplin, MO 64804. The listed phone number is (417) 622-0293.

What is Nathaniel Phelan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nathaniel Phelan enrolled in Medicare?

Yes. Nathaniel Phelan 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.

Which organization bills Medicare for Nathaniel Phelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Phelan reassigns Medicare benefits to Phelan Dermatology & Aesthetics (Joplin, MO). 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 Nathaniel Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Phelan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Nathaniel Phelan 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 Nathaniel Phelan affiliated with any hospitals?

According to CMS data, Nathaniel Phelan is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Nathaniel Phelan was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.