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DR. JOHN KENDALL ETHRIDGE JR. MD
NPI 1306042619
Obstetrics & Gynecology - Maternal & Fetal Medicine in Springfield, MO

Active since June 23, 2007PECOS EnrolledAccepts Medicare Assignment
1000 E PRIMROSE ST STE 360, SPRINGFIELD, MO 65807(417) 269-4037(417) 269-6139 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Kendall Ethridge Jr. Md NPPES

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

DR. JOHN KENDALL ETHRIDGE JR. MD (NPI 1306042619) is an individual maternal & fetal medicine provider in Springfield, Missouri, licensed in Missouri (2018009510) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306042619
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. JOHN KENDALL ETHRIDGE JR.Credential: MD
Location Address1000 E PRIMROSE ST STE 360Springfield, MO 65807
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-5712 · Fax (417) 269-7567
Phone(417) 269-4037
Fax(417) 269-6139
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 23, 2007
Last NPPES UpdateJuly 10, 2018
✔ NPI 1306042619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in MO · 2018009510✔ Licensed in TN · 51003
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 25614 (OK)
1000 E PRIMROSE ST STE 360, Springfield, MO 65807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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. John Kendall Ethridge Jr. 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 ID5496939894
PECOS Enrollment IDI20180706000145
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$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.

Other Providers at the Same Location NPPES

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

DR. SHAUN G LENCKI MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO 65807
Greene County (417) 269-4037

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 John Ethridge's NPI number?

The NPI number for John Ethridge is 1306042619. It was assigned to this individual provider in the NPPES registry on June 23, 2007.

Where is John Ethridge located?

John Ethridge practices at 1000 E Primrose St Ste 360, Springfield, MO 65807. The listed phone number is (417) 269-4037.

What is John Ethridge's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is John Ethridge enrolled in Medicare?

Yes. John Ethridge 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 John Ethridge accept?

Health plans from Cox HealthPlans list John Ethridge 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.

When was this NPI record last updated?

The NPPES record for John Ethridge was last updated on July 10, 2018. 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.