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DR. DENNIS EDWARDS DANIELS MD
NPI 1265404222
Internal Medicine - Pulmonary Disease in Poplar Bluff, MO

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
1906A GREENWOOD DR, POPLAR BLUFF, MO 63901(573) 778-5913(573) 776-7750 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2017, Oct 17, 2017, Feb 2, 2016 (3 updates tracked since 2016).

About Dr. Dennis Edwards Daniels Md NPPES

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

DR. DENNIS EDWARDS DANIELS MD (NPI 1265404222) is an individual pulmonary disease provider in Poplar Bluff, Missouri, licensed in West Virginia (26336) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Western Missouri Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265404222
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DENNIS EDWARDS DANIELSCredential: MD
Location Address1906A GREENWOOD DRPoplar Bluff, MO 63901-2430
Mailing Address1906a Greenwood DrPoplar Bluff, MO 63901-2430 · (573) 778-5913 · Fax (573) 776-7750
Phone(573) 778-5913
Fax(573) 776-7750
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 3, 2006
Last NPPES UpdateDecember 28, 20173 updates tracked since enumeration
✔ NPI 1265404222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in WV · 26336✔ Licensed in MO · 2003009194
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.
1906A GREENWOOD DR, Poplar Bluff, MO 63901
Open in Google Maps ↗

Other Identifiers 1

Medicaid209073204MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Dennis Edwards Daniels 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 ID5991808628
PECOS Enrollment IDI20070316000244, I20180314002439
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.

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.
53 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Western Missouri Medical Center

Acute Care Hospitals · Warrensburg, MO
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260097
Location403 Burkarth RoadWarrensburg, MO 64093 · Johnson County
Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
2 suppliers11 claims11 services$31.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers21 claims21 services$100.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims56 services$41.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers18 claims102 services$22.71 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims65 services$14.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers32 claims32 services$62.97 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 2

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

WOMAN TO WOMAN
Obstetrics & Gynecology (Gynecologic Oncology)
1906A GREENWOOD DR
POPLAR BLUFF, MO 63901
Butler County (573) 776-7740
EXECUTIVE PULMONARY MEDICINE, PC
Internal Medicine
1906A GREENWOOD DR
POPLAR BLUFF, MO 63901
Butler County (573) 776-7740

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 Dennis Daniels's NPI number?

The NPI number for Dennis Daniels is 1265404222. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Dennis Daniels located?

Dennis Daniels practices at 1906A Greenwood Dr, Poplar Bluff, MO 63901. The listed phone number is (573) 778-5913.

What is Dennis Daniels's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dennis Daniels enrolled in Medicare?

Yes. Dennis Daniels 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 Dennis Daniels accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 8 other insurers list Dennis Daniels 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 Dennis Daniels affiliated with any hospitals?

According to CMS data, Dennis Daniels is affiliated with Western Missouri Medical Center, Poplar Bluff Regional Medical Center and Excela Health Westmoreland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Dennis Daniels was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.