JOHN J MAGNUSON MD
NPI 1770689747
Pediatrics in Sparta, MO
About John J Magnuson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J MAGNUSON MD (NPI 1770689747) is an individual pediatrics provider in Sparta, Missouri, licensed in Missouri (2002019251) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John J Magnuson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Magnuson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65803
- Reassigned Medicare billing, Missouri enrollment
- 119 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 65753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Magnuson's NPI number?
The NPI number for John Magnuson is 1770689747. It was assigned to this individual provider in the NPPES registry on September 16, 2006.
Where is John Magnuson located?
John Magnuson practices at 155 Village Dr, Sparta, MO 65753. The listed phone number is (417) 634-4203.
What is John Magnuson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Magnuson enrolled in Medicare?
Yes. John Magnuson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Magnuson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Magnuson reassigns Medicare benefits to Sgoh Acquisition Inc (Springfield, 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 John Magnuson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Magnuson 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 John Magnuson 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 John Magnuson was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John J Magnuson, MD · NPI 1770689747
Pediatrics physician in Sparta, Missouri. Individual provider, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1770689747 (Entity type: Individual)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2002019251 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 VILLAGE DR, Sparta, MO 65753-8104
- **Phone:** (417) 634-4203 · **Fax:** (417) 634-4505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sgoh Acquisition Inc (NPI 1114924768, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2023
- **Other identifiers:** Medicaid 205921703 (MO); Other P00361139; Medicaid 1770689747 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1770689747) · Data from the CMS NPPES public registry.