JUSTIN MCFALL
NPI 1528791753
Family Medicine in Springfield, MO
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Justin Mcfall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MOPhysician 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.
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.
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.
Which organization bills Medicare for Justin Mcfall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Mcfall reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The 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 Justin Mcfall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Mcfall 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 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 15 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.
# Justin Mcfall · NPI 1528791753
Family Medicine physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since July 6, 2022.
## Identity
- **NPI:** 1528791753 (Entity type: Individual)
- **Enumerated:** July 6, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2025026543 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3253 E CHESTNUT EXPY, Springfield, MO 65802-2698
- **Phone:** (417) 885-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528791753) · Data from the CMS NPPES public registry.