RANDY A. ENGELMAN DO
NPI 1285841940
Emergency Medicine in Joplin, MO

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
74.66/100
CMS Quality Rating
100 MERCY WAY, JOPLIN, MO 64804(417) 556-2727 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randy A. Engelman Do NPPES

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

RANDY A. ENGELMAN DO (NPI 1285841940) is an individual emergency medicine provider in Joplin, Missouri, licensed in Missouri (2018006182) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1285841940
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRANDY A. ENGELMANCredential: DO
Location Address100 MERCY WAYJoplin, MO 64804-4524
Mailing Address100 Mercy WayJoplin, MO 64804-4524 · (417) 556-2727
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2004
Enumeration DateMay 16, 2007
Last NPPES UpdateFebruary 27, 2018
NPI 1285841940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MO · 2018006182
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.

100 MERCY WAY, Joplin, MO 64804

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

Randy A. Engelman Do 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 ID7012015514
PECOS Enrollment IDI20230501001512
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 5

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 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.
186 services170 patients
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.
106 services96 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
86 services85 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.
29 services27 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett 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.

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.

74.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.28
Promoting Interoperability100
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$119.52 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.

Internal Medicine
100 MERCY WAY
JOPLIN, MO 64804
Nurse Practitioner (Family)
100 MERCY WAY
JOPLIN, MO 64804
Dietitian, Registered
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804
Emergency Medicine
100 MERCY WAY
JOPLIN, MO 64804
Hospitalist
100 MERCY WAY
JOPLIN, MO 64804
Physician Assistant (Surgical)
100 MERCY WAY
JOPLIN, MO 64804
Registered Nurse
100 MERCY WAY
JOPLIN, MO 64804

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 Randy Engelman's NPI number?

The NPI number for Randy Engelman is 1285841940. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Randy Engelman located?

Randy Engelman practices at 100 Mercy Way, Joplin, MO 64804. The listed phone number is (417) 556-2727.

What is Randy Engelman's specialty?

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

Is Randy Engelman enrolled in Medicare?

Yes. Randy Engelman 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 Randy Engelman accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Randy Engelman 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 Randy Engelman affiliated with any hospitals?

According to CMS data, Randy Engelman is affiliated with Garrett Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Randy Engelman was last updated on February 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.