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DR. MICHAEL J NAUGHTON MD
NPI 1295752830
Internal Medicine - Medical Oncology in Cape Girardeau, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
211 SAINT FRANCIS DR STE 372, CAPE GIRARDEAU, MO 63703(573) 331-5525(573) 331-5558 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Michael J Naughton Md NPPES

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

DR. MICHAEL J NAUGHTON MD (NPI 1295752830) is an individual medical oncology provider in Cape Girardeau, Missouri, licensed in Missouri (103671) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1993).

NPPES Registry Identity

NPI1295752830
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. MICHAEL J NAUGHTONCredential: MD
Location Address211 SAINT FRANCIS DR STE 372Cape Girardeau, MO 63703-5049
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079
Phone(573) 331-5525
Fax(573) 331-5558
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1993
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1295752830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MO · 103671
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
211 SAINT FRANCIS DR STE 372, Cape Girardeau, MO 63703
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Other Identifiers 2

MedicaidENROLLEDIL
Medicaid203960000MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Michael J Naughton 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 ID9234173303
PECOS Enrollment IDI20050620000468
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 7

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.

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.
913 services355 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
96 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services62 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.
59 services27 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.
31 services29 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.
30 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau 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

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
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 9

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims348 services$4.15 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims8,029 services$0.83 avg. paid by Medicare
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 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims364 services$0.39 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers37 claims2,466 services$0.74 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 3

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

MORGAN LYNN GATES FNP-C
Nurse Practitioner (Family)
211 SAINT FRANCIS DR STE 372
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5525
ALICIA MARIA HENAO URIBE M.D.
Internal Medicine (Hematology & Oncology)
211 SAINT FRANCIS DR STE 372
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5525
MRS. KIMBERLY PETERS MSN/AGNP
Nurse Practitioner
211 SAINT FRANCIS DR STE 372
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5525

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 Michael Naughton's NPI number?

The NPI number for Michael Naughton is 1295752830. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Naughton located?

Michael Naughton practices at 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703. The listed phone number is (573) 331-5525.

What is Michael Naughton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Naughton enrolled in Medicare?

Yes. Michael Naughton 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 Michael Naughton accept?

Health plans from UnitedHealthcare list Michael Naughton 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 Michael Naughton affiliated with any hospitals?

According to CMS data, Michael Naughton is affiliated with Barnes Jewish Hospital, Mercy Hospital Southeast, Poplar Bluff Regional Medical Center, Saint Francis Medical Center and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Michael Naughton was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.