DR. SAMUEL CHARLES EVANS M.D.
NPI 1407197684
Family Medicine - Adult Medicine in West Plains, MO

Q: What is Samuel Evans's NPI number?

The NPI number for Samuel Evans is 1407197684. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Q: What is Samuel Evans's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Evans was last updated on September 30, 2020. 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.

Active since March 12, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

181 N KENTUCKY AVE STE 100, WEST PLAINS, MO 65775(417) 257-5911(417) 257-5913 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, May 1, 2018 (2 updates tracked since 2018).

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About Dr. Samuel Charles Evans M.d. NPPES

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

DR. SAMUEL CHARLES EVANS M.D. (NPI 1407197684) is an individual adult medicine provider in West Plains, Missouri, licensed in Missouri (2020012799) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and maintains a secondary practice location in Caulfield.

NPPES Registry Identity

NPI1407197684

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. SAMUEL CHARLES EVANSCredential: M.D.

Location Address181 N KENTUCKY AVE STE 100West Plains, MO 65775-2092

Mailing AddressPo Box 1100West Plains, MO 65775-1100 · (417) 256-9111 · Fax (417) 257-5947

Phone(417) 257-5911

Fax(417) 257-5913

Sole ProprietorYes

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1991

Enumeration DateMarch 12, 2013

Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1407197684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Licenses✔ Licensed in MO · 2020012799✔ Licensed in AR · C-8117

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

181 N KENTUCKY AVE STE 100, West Plains, MO 65775

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Secondary Practice Location 1

Location 12 US Hwy 160Caulfield, MO 65626 · Phone (417) 942-6357

Other Identifiers 2

Other2020012799MO · State License

Medicaid200084697MO

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. Samuel Charles Evans M.d. 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 ID4587938824

PECOS Enrollment IDI20200617000894

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.

Hospital Affiliations CMS Care Compare

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

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260078

Location1100 Kentucky AveWest Plains, MO 65775 · Howell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

94%31 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$21.22 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

2 suppliers43 claims43 services$113.20 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier23 claims23 services$36.62 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims3,649 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers16 claims16 services$24.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

DR. RYAN NATHANIEL VAISLER M.D.

Family Medicine

181 N KENTUCKY AVE STE 100
WEST PLAINS, MO 65775

Howell County (174) 257-9111

DR. MARY K PENDERGRASS DO

Family Medicine

181 N KENTUCKY AVE STE 100
WEST PLAINS, MO 65775

Howell County (417) 257-5911

MRS. SUZANNE R HUDDLESTON FNP-C

Nurse Practitioner

181 N KENTUCKY AVE STE 100
WEST PLAINS, MO 65775

Howell County (417) 257-5911

DR. LORI G MACPHERSON M.D.

Family Medicine

181 N KENTUCKY AVE STE 100
WEST PLAINS, MO 65775

Howell County (417) 257-5911

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 Samuel Evans's NPI number?

The NPI number for Samuel Evans is 1407197684. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Samuel Evans located?

Samuel Evans practices at 181 N Kentucky Ave Ste 100, West Plains, MO 65775. The listed phone number is (417) 257-5911.

What is Samuel Evans's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Samuel Evans enrolled in Medicare?

Yes. Samuel Evans 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 Samuel Evans 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 7 other insurers list Samuel Evans 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 Samuel Evans affiliated with any hospitals?

According to CMS data, Samuel Evans is affiliated with Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Samuel Evans was last updated on September 30, 2020. 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.