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FRED D BIGGS MD
NPI 1750335121
Internal Medicine - Cardiovascular Disease in Joplin, MO

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
100 MERCY WAY STE 320-330, JOPLIN, MO 64804(417) 781-5387 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2021, Oct 26, 2020, Dec 6, 2018 (3 updates tracked since 2018).

About Fred D Biggs Md NPPES

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

FRED D BIGGS MD (NPI 1750335121) is an individual cardiovascular disease provider in Joplin, Missouri, licensed in Missouri (R6024) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1972).

NPPES Registry Identity

NPI1750335121
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameFRED D BIGGSCredential: MD
Location Address100 MERCY WAY STE 320-330Joplin, MO 64804-4524
Mailing Address100 Mercy Way Ste 320-330Joplin, MO 64804-4524
Phone(417) 781-5387
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1972
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 23, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1750335121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · R6024
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License R6024 (MO)
100 MERCY WAY STE 320-330, Joplin, MO 64804
Open in Google Maps ↗

Other Identifiers 9

Other33202011Blue Shield Of Kc Hmo
Other4596969Aetna Ppo
Other33202011Php Freedom
Other060068300Medicare Railroad
Other4596969Aetna
Other4596969Aetna Hmo
Medicaid1205853389MO
Other431092652 A003Champus Tricare
Other33202011Blue Shield Of Kc Ppo

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

Fred D Biggs 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 ID2668508383
PECOS Enrollment IDI20100331001066
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 Reassignments

2

Medicare enrollment records show Fred Biggs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Joplin LLC
Same address
Family Medicine
100 MERCY WAY
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
NPI 1215264817 (417) 556-2727
Prime Healthcare Kansas City - Physician Services LLC
131 mi
Family Medicine
930 CARONDELET DR STE 201
Kansas City, MO 64114
  • Reassigned Medicare billing, Missouri enrollment
  • 180 clinicians in this Medicare group
NPI 1427449487 (816) 389-6100

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 3

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.
274 services221 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.
157 services130 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
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.

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 Fred Biggs's NPI number?

The NPI number for Fred Biggs is 1750335121. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Fred Biggs located?

Fred Biggs practices at 100 Mercy Way Ste 320-330, Joplin, MO 64804. The listed phone number is (417) 781-5387.

What is Fred Biggs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Fred Biggs enrolled in Medicare?

Yes. Fred Biggs 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 organizations bill Medicare for Fred Biggs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Biggs reassigns Medicare benefits to 2 organizations: Mercy Clinic Joplin LLC (Joplin, MO) and Prime Healthcare Kansas City - Physician Services LLC (Kansas City, MO). Each 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 Fred Biggs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fred Biggs 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 2 other insurers list Fred Biggs 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.

When was this NPI record last updated?

The NPPES record for Fred Biggs was last updated on February 23, 2024. 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.