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DAVID SHOUP
NPI 1386795722
Physician Assistant in Fort Leonard Wood, MO

Active since January 14, 2007PECOS Enrolled
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-9602 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Shoup NPPES

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

DAVID SHOUP (NPI 1386795722) is an individual physician assistant in Fort Leonard Wood, Missouri, licensed in Missouri (2000175328) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386795722
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID SHOUP
Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098
Mailing Address4430 Missouri AveFort Leonard Wood, MO 65473-9098 · (573) 596-9602
Phone(573) 596-9602
Sole ProprietorNo
Enumeration DateJanuary 14, 2007
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1386795722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2000175328
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4430 MISSOURI AVE, Fort Leonard Wood, MO 65473
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Shoup is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65473 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
$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 20

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

MR. JON-MARC THIBODEAU PA-C
Physician Assistant
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
DR. DANIEL A GOOD PHD
Psychologist (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
MRS. TERRY L. BRUNO F.N.P.
Nurse Practitioner
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
DR. SEAN ELIOT SCOTT MD
Emergency Medicine
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417
NANCY L GRANDGEORGE AUD
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9500
ERIC BUNNELL AUD, CCC-A
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
ERICA L ASBELL LMSW
Social Worker (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
PATRICIA ANH THU VU MD, PHD
Preventive Medicine (Public Health & General Preventive Medicine)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

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 David Shoup's NPI number?

The NPI number for David Shoup is 1386795722. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is David Shoup located?

David Shoup practices at 4430 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-9602.

What is David Shoup's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Shoup enrolled in Medicare?

Yes. David Shoup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Shoup was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.