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JUSTIN MCFALL
NPI 1528791753
Family Medicine in Springfield, MO

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
3253 E CHESTNUT EXPY, SPRINGFIELD, MO 65802(417) 885-2200 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2025, Jul 6, 2022 (2 updates tracked since 2022).

About Justin Mcfall NPPES

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

JUSTIN MCFALL (NPI 1528791753) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2025026543) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528791753
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN MCFALL
Location Address3253 E CHESTNUT EXPYSpringfield, MO 65802-2698
Mailing Address3253 E Chestnut ExpySpringfield, MO 65802-2698
Phone(417) 885-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2022
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1528791753 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 · 2025026543
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.
3253 E CHESTNUT EXPY, Springfield, MO 65802
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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

Justin Mcfall 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 ID3678072907
PECOS Enrollment IDI20250814003919
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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65802 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 4

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

ANTHONY YEE-HO KAM MD
Family Medicine
3253 E CHESTNUT EXPY
SPRINGFIELD, MO 65802
Greene County (417) 885-2200
DR. EDIDIONG OFFIONG MD
Family Medicine
3253 E CHESTNUT EXPY
SPRINGFIELD, MO 65802
Greene County (417) 885-2200
YOUJIN NA DO
Family Medicine
3253 E CHESTNUT EXPY
SPRINGFIELD, MO 65802
Greene County (417) 885-2200
AMANDA KIMBERLEY DAVIS
Family Medicine
3253 E CHESTNUT EXPY
SPRINGFIELD, MO 65802
Greene County (850) 431-5430

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 Justin Mcfall's NPI number?

The NPI number for Justin Mcfall is 1528791753. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Justin Mcfall located?

Justin Mcfall practices at 3253 E Chestnut Expy, Springfield, MO 65802. The listed phone number is (417) 885-2200.

What is Justin Mcfall's specialty?

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

Is Justin Mcfall enrolled in Medicare?

Yes. Justin Mcfall 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 Justin Mcfall 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 3 other insurers list Justin Mcfall 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 Justin Mcfall affiliated with any hospitals?

According to CMS data, Justin Mcfall is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Justin Mcfall was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.