OSAGE VALLEY PLASTIC SURGERY PC
NPI 1245596501
Specialist in Osage Beach, MO

Active since April 11, 2012
985 EXECUTIVE DR, OSAGE BEACH, MO 65065(573) 348-4863(573) 348-4965 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Osage Valley Plastic Surgery Pc NPPES

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

OSAGE VALLEY PLASTIC SURGERY PC (NPI 1245596501) is a healthcare organization registered as a specialist in Osage Beach, Missouri and active in the NPI registry since April 2012. The organization lists David B Huang, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1245596501
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOSAGE VALLEY PLASTIC SURGERY PC
Location Address985 EXECUTIVE DROsage Beach, MO 65065-3496
Mailing Address985 Executive DrOsage Beach, MO 65065-3496 · (573) 348-4863 · Fax (573) 348-4965
Fax(573) 348-4965
Organization SubpartNo
Authorized OfficialDavid B HuangOwner/operator · (573) 348-4863
Enumeration DateApril 11, 2012
✔ NPI 1245596501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · MO109950
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
985 EXECUTIVE DR, Osage Beach, MO 65065

Other Identifiers 2

Medicare UPINH09684MO
Medicaid204838908MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osage Valley Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Osage Valley Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1063418879
985 EXECUTIVE DRIVE
Osage Beach, MO 65065
(573) 348-4863
✔ PECOSSame address

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

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 Osage Valley Plastic Surgery PC's NPI number?

The NPI number for Osage Valley Plastic Surgery PC is 1245596501. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Osage Valley Plastic Surgery PC located?

Osage Valley Plastic Surgery PC is located at 985 Executive Dr, Osage Beach, MO 65065. The listed phone number is (573) 348-4863.

What is Osage Valley Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Osage Valley Plastic Surgery PC enrolled in Medicare?

Yes. Osage Valley Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Osage Valley Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Osage Valley Plastic Surgery PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Osage Valley Plastic Surgery PC was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.