DOUGLAS R BISHOP
NPI 1417353608
Nurse Practitioner - Adult Health in Poplar Bluff, MO

Q: What is Douglas Bishop's NPI number?

The NPI number for Douglas Bishop is 1417353608. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Q: What is Douglas Bishop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Bishop was last updated on November 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2014PECOS EnrolledAccepts Medicare Assignment

2865 JAMES BLVD, POPLAR BLUFF, MO 63901(573) 776-1100(573) 776-1107 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Douglas R Bishop NPPES

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

DOUGLAS R BISHOP (NPI 1417353608) is an individual adult health provider in Poplar Bluff, Missouri, licensed in Missouri (2014038385) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417353608

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameDOUGLAS R BISHOP

Location Address2865 JAMES BLVDPoplar Bluff, MO 63901-2803

Mailing Address190 Industrial DrFestus, MO 63028-4133 · (636) 638-1506 · Fax (636) 638-1507

Phone(573) 776-1100

Fax(573) 776-1107

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 14, 2014

✔ NPI 1417353608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2014038385

Also ListedRegistered NurseTaxonomy 163W00000X · License 2009003804 (MO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2014038385 (MO)

2865 JAMES BLVD, Poplar Bluff, MO 63901

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Other Identifiers 2

MedicaidAPPLYINGMO

Medicare PINAPPLYINGMO

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

Douglas R Bishop 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 ID7214251917

PECOS Enrollment IDI20150129001624

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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

140 services135 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

91 services89 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.

51 services29 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.

22 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis 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 63901 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.

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Other Providers at the Same Location NPPES 8

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

ADVANCED PHARMACY

Pharmacy