DR. ELIZABETH EVALYN DEAN D.O.
NPI 1720094667
Family Medicine in Mount Vernon, MO

Active since July 31, 2006PECOS Enrolled
600 N MAIN ST, MOUNT VERNON, MO 65712(417) 466-0180(417) 466-0184 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elizabeth Evalyn Dean D.o. NPPES

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

DR. ELIZABETH EVALYN DEAN D.O. (NPI 1720094667) is an individual family medicine provider in Mount Vernon, Missouri, licensed in Missouri (R8J59) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720094667
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELIZABETH EVALYN DEANCredential: D.O.
Location Address600 N MAIN STMount Vernon, MO 65712-1004
Mailing Address600 N Main StMount Vernon, MO 65712-1004 · (417) 466-0180 · Fax (417) 466-0184
Fax(417) 466-0184
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720094667 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 · R8J59
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.
600 N MAIN ST, Mount Vernon, MO 65712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Evalyn Dean D.o. 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
109 MAIN STREET
Braymer, MO 64624
  • Reassigned Medicare billing, Missouri enrollment
  • 23 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65712 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 20

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

Dietitian, Registered
600 N MAIN ST
MOUNT VERNON, MO 65712
Physical Medicine & Rehabilitation
600 N MAIN ST
MOUNT VERNON, MO 65712
Optometrist
600 N MAIN ST
MOUNT VERNON, MO 65712
Internal Medicine
600 N MAIN ST, VA CLINIC
MOUNT VERNON, MO 65712
Internal Medicine (Pulmonary Disease)
600 N MAIN ST
MOUNT VERNON, MO 65712
Family Medicine
600 N MAIN ST
MOUNT VERNON, MO 65712
Optometrist
600 N MAIN ST, GENE TAYLOR V.A. OUTPATIENT CLINIC
MOUNT VERNON, MO 65712
Pharmacist
600 N MAIN ST
MOUNT VERNON, MO 65712

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 Elizabeth Dean's NPI number?

The NPI number for Elizabeth Dean is 1720094667. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Elizabeth Dean located?

Elizabeth Dean practices at 600 N Main St, Mount Vernon, MO 65712. The listed phone number is (417) 466-0180.

What is Elizabeth Dean's specialty?

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

Is Elizabeth Dean enrolled in Medicare?

Yes. Elizabeth Dean is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Dean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Dean reassigns Medicare benefits to Northwest Health Services Inc (Braymer, 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 Elizabeth Dean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Dean was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.