DR. LUKE DOUGLAS PYRON MD
NPI 1720093396
Family Medicine in Carthage, MO

Q: What is Luke Pyron's NPI number?

The NPI number for Luke Pyron is 1720093396. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Luke Pyron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luke Pyron was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment

1615 HAZEL AVE, CARTHAGE, MO 64836(417) 359-8803(417) 359-8454 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Luke Douglas Pyron Md NPPES

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

DR. LUKE DOUGLAS PYRON MD (NPI 1720093396) is an individual family medicine provider in Carthage, Missouri, licensed in Missouri (2003016147) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of University Of Oklahoma College Of Medicine (2000).

NPPES Registry Identity

NPI1720093396

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LUKE DOUGLAS PYRONCredential: MD

Location Address1615 HAZEL AVECarthage, MO 64836-3020

Mailing Address1615 Hazel AveCarthage, MO 64836-3020 · (417) 359-8803 · Fax (417) 359-8454

Phone(417) 359-8803

Fax(417) 359-8454

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2000

Enumeration DateJuly 30, 2006

Last NPPES UpdateJuly 14, 2014

✔ NPI 1720093396 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 · 2003016147

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.

1615 HAZEL AVE, Carthage, MO 64836

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Other Identifiers 8

Medicare PIN132300046MO

Medicare UPINH57858

Medicaid204642102MO

Medicaid243419306MO

Medicare PINMA3446262MO

Medicare ID-Type Unspecified202050049MO

Medicaid200362620AKS

Medicaid100848210AOK

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

Dr. Luke Douglas Pyron 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 ID3173671898

PECOS Enrollment IDI20090506000138

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 Reassignment

Medicare enrollment records show Luke Pyron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Joplin LLC

1.7 mi

Emergency Medicine

3125 DR RUSSELL SMITH WAY
Carthage, MO 64836

Reassigned Medicare billing, Missouri enrollment
562 clinicians in this Medicare group

NPI 1477822567 (417) 358-8121

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 14

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

432 services227 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

329 services206 patients

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.

277 services187 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

142 services142 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

85 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

67 services38 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services60 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

52 services36 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

51 services51 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

30 services20 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260137

Location1102 West 32nd StreetJoplin, MO 64804 · Jasper 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 Carthage

Critical Access Hospitals · Carthage, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261338

Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64836 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers50 claims83 services$5.49 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers16 claims17 services$0.87 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers20 claims40 services$1.58 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers15 claims41 services$37.10 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers11 claims11 services$15.68 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers19 claims114 services$2.49 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$4.15 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims10,800 services$0.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$18.93 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier14 claims14 services$861.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$6.44 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$10.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers81 claims82 services$87.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier37 claims37 services$32.64 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims720 services$4.57 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers29 claims5,646 services$0.03 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$166.69 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers31 claims31 services$22.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MERCY HOSPITAL CARTHAGE

Clinic/Center (Rural Health)

1615 HAZEL AVE
CARTHAGE, MO 64836

Jasper County (417) 237-0983

LAWRENCE ANDRADE MD

Family Medicine

1615 HAZEL AVE
CARTHAGE, MO 64836

Jasper County (417) 359-8803

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 Luke Pyron's NPI number?

The NPI number for Luke Pyron is 1720093396. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Luke Pyron located?

Luke Pyron practices at 1615 Hazel Ave, Carthage, MO 64836. The listed phone number is (417) 359-8803.

What is Luke Pyron's specialty?

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

Is Luke Pyron enrolled in Medicare?

Yes. Luke Pyron 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 Luke Pyron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Pyron reassigns Medicare benefits to Mercy Clinic Joplin LLC (Carthage, 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 Luke Pyron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Pyron accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Luke Pyron 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 Luke Pyron affiliated with any hospitals?

According to CMS data, Luke Pyron is affiliated with Mercy Hospital Joplin, Freeman Health System - Freeman West, Mercy Hospital Aurora and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Luke Pyron was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.