MARC HAVLICEK PA-C
NPI 1558057679
Physician Assistant in Springfield, MO

Q: What is Marc Havlicek's NPI number?

The NPI number for Marc Havlicek is 1558057679. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Marc Havlicek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Havlicek was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 12, 2023PECOS Enrolled

3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-6583(417) 269-6573 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, May 3, 2023, Apr 12, 2023 (3 updates tracked since 2023).

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About Marc Havlicek Pa-c NPPES

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

MARC HAVLICEK PA-C (NPI 1558057679) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (20230212235) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Branson.

NPPES Registry Identity

NPI1558057679

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARC HAVLICEKCredential: PA-C

Location Address3801 S NATIONAL AVESpringfield, MO 65807-5210

Mailing AddressPo Box 802843Kansas City, MO 64180-2843 · (417) 730-6430 · Fax (417) 269-7567

Phone(417) 269-6583

Fax(417) 269-6573

Sole ProprietorYes

Enumeration DateApril 12, 2023

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1558057679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 20230212235

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3801 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Location 1

Location 1525 Branson Landing BlvdBranson, MO 65616-2052 · Phone (417) 875-2627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Havlicek Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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 20

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

KALEB AFSHAR

Anesthesiology