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PAUL BERRY ANDELIN M.D.
NPI 1457413858
Family Medicine in Aurora, MO

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
203 S WASHINGTON AVE STE A, AURORA, MO 65605(417) 678-4022(417) 678-4028 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Berry Andelin M.d. NPPES

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

PAUL BERRY ANDELIN M.D. (NPI 1457413858) is an individual family medicine provider in Aurora, Missouri, licensed in Missouri (MDR3M76) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1457413858
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL BERRY ANDELINCredential: M.D.
Location Address203 S WASHINGTON AVE STE AAurora, MO 65605-1466
Mailing Address1937 W Cardinal LnAurora, MO 65605-1977 · (417) 678-6328 · Fax (417) 678-4028
Phone(417) 678-4022
Fax(417) 678-4028
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1984
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1457413858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · MDR3M76
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 S WASHINGTON AVE STE A, Aurora, MO 65605
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Secondary Practice Location 1

Location 12195 N Citation AveSpringfield, MO 65802-5420 · Phone (417) 476-3033

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Berry Andelin 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 ID1254384894
PECOS Enrollment IDI20050223000923
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Paul Andelin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Aurora
0.7 mi
Critical Access
500 PORTER AVE
Aurora, MO 65605
  • Reassigned Medicare billing, Missouri enrollment
  • 171 clinicians in this Medicare group
NPI 1467543090 (417) 678-2122
Mercy Hospital Cassville
22 mi
Critical Access
94 MAIN ST
Cassville, MO 65625
  • Reassigned Medicare billing, Missouri enrollment
  • 151 clinicians in this Medicare group
NPI 1285676932 (417) 847-6000
Hometown Medical Group, LLC
35 mi
Family Medicine
2195 N CITATION AVE
Springfield, MO 65802
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1295488195 (417) 476-6033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
118 services44 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.
53 services52 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
53 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy Hospital - Cassville

Critical Access Hospitals · Cassville, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261317
Location94 Main StreetCassville, MO 65625 · Barry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65605 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.

Other Providers at the Same Location NPPES

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

BENJAMIN GLEN LEAVITT M.D.
Family Medicine
203 S WASHINGTON AVE STE A
AURORA, MO 65605
Lawrence County (417) 678-4022

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 Paul Andelin's NPI number?

The NPI number for Paul Andelin is 1457413858. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Paul Andelin located?

Paul Andelin practices at 203 S Washington Ave Ste A, Aurora, MO 65605. The listed phone number is (417) 678-4022.

What is Paul Andelin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Andelin enrolled in Medicare?

Yes. Paul Andelin 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.

Which organizations bill Medicare for Paul Andelin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Andelin reassigns Medicare benefits to 3 organizations: Mercy Hospital Aurora (Aurora, MO), Mercy Hospital Cassville (Cassville, MO) and Hometown Medical Group, LLC (Springfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Andelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Andelin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Paul Andelin 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 Paul Andelin affiliated with any hospitals?

According to CMS data, Paul Andelin is affiliated with Mercy Hospital Springfield, Mercy Hospital Aurora and Mercy Hospital - Cassville.

When was this NPI record last updated?

The NPPES record for Paul Andelin was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.