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DONALD R COTTON MD
NPI 1407963705
Preventive Medicine - Undersea and Hyperbaric Medicine in Joplin, MO

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
3315 MCINTOSH CIRCLE, JOPLIN, MO 64804(417) 347-4800(417) 347-4033 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald R Cotton Md NPPES

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

DONALD R COTTON MD (NPI 1407963705) is an individual undersea and hyperbaric medicine provider in Joplin, Missouri, licensed in Missouri (R5211) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of University Of Missouri, Columbia School Of Medicine (1970).

NPPES Registry Identity

NPI1407963705
Entity TypeIndividualMale
Primary Taxonomy2083P0011X
Provider Legal NameDONALD R COTTONCredential: MD
Location Address3315 MCINTOSH CIRCLEJoplin, MO 64804-3649
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-4800 · Fax (417) 347-4033
Phone(417) 347-4800
Fax(417) 347-4033
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1970
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 30, 2012
✔ NPI 1407963705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in MO · R5211
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedSurgeryTaxonomy 208600000X · License R5211 (MO)
3315 MCINTOSH CIRCLE, Joplin, MO 64804
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Other Identifiers 5

Medicare ID-Type Unspecified053050049MO
Other703181KS · Blue Cross
MedicaidZ43419306MO
Medicaid1111220OK
Medicare UPIND34545

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

Donald R Cotton 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 ID8123157716
PECOS Enrollment IDI20100519000738
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
102 services54 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
16 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper 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
$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
$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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

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 Donald Cotton's NPI number?

The NPI number for Donald Cotton is 1407963705. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Donald Cotton located?

Donald Cotton practices at 3315 Mcintosh Circle, Joplin, MO 64804. The listed phone number is (417) 347-4800.

What is Donald Cotton's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Donald Cotton enrolled in Medicare?

Yes. Donald Cotton 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 Donald Cotton 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 4 other insurers list Donald Cotton 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 Donald Cotton affiliated with any hospitals?

According to CMS data, Donald Cotton is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Donald Cotton was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.