ELAINA ALUMNO MD
NPI 1609432350
Family Medicine in Springfield, MO

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
96.36/100
CMS Quality Rating
3231 S NATIONAL AVE STE 230, SPRINGFIELD, MO 65807(417) 820-4950 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Jul 13, 2022, Jul 22, 2020 and 1 more (4 updates tracked since 2019).

About Elaina Alumno Md NPPES

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

ELAINA ALUMNO MD (NPI 1609432350) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2023012029) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains a secondary practice location in Mason City.

NPPES Registry Identity

NPI1609432350
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELAINA ALUMNOCredential: MD
Location Address3231 S NATIONAL AVE STE 230Springfield, MO 65807-7304
Mailing Address3231 S National Ave Ste 230Springfield, MO 65807-7304 · (417) 820-4950
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 17, 2019
Last NPPES UpdateSeptember 19, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1609432350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MO · 2023012029 Licensed in IA · R-11443
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.
3231 S NATIONAL AVE STE 230, Springfield, MO 65807

Secondary Practice Location 1

Location 11010 4th St SW Ste 340Mason City, IA 50401-2856 · Phone (641) 428-7766 · Fax (641) 428-7788

Accepted 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

Elaina Alumno Md 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 ID840527040
PECOS Enrollment IDI20230911001688
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
249 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 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.
14 services14 patients

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 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Advanced Practice Midwife
3231 S NATIONAL AVE STE 230
SPRINGFIELD, MO 65807
Midwife
3231 S NATIONAL AVE STE 230
SPRINGFIELD, MO 65807
Advanced Practice Midwife
3231 S NATIONAL AVE STE 230
SPRINGFIELD, MO 65807

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 Elaina Alumno's NPI number?

The NPI number for Elaina Alumno is 1609432350. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Elaina Alumno located?

Elaina Alumno practices at 3231 S National Ave Ste 230, Springfield, MO 65807. The listed phone number is (417) 820-4950.

What is Elaina Alumno's specialty?

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

Is Elaina Alumno enrolled in Medicare?

Yes. Elaina Alumno 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 Elaina Alumno accept?

Health plans from Medica list Elaina Alumno 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 Elaina Alumno affiliated with any hospitals?

According to CMS data, Elaina Alumno is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Elaina Alumno was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.