DR. JOHN DERICK PAULSON DO
NPI 1801077797
Family Medicine in Joplin, MO

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
530 S MAIDEN LN, JOPLIN, MO 64801(417) 782-6200 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2020, Oct 1, 2015 (2 updates tracked since 2015).

About Dr. John Derick Paulson Do NPPES

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

DR. JOHN DERICK PAULSON DO (NPI 1801077797) is an individual family medicine provider in Joplin, Missouri, licensed in Oklahoma (5883) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1801077797
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN DERICK PAULSONCredential: DO
Location Address530 S MAIDEN LNJoplin, MO 64801-3084
Mailing Address6600 S Yale Ave, Suite 1400Tulsa, OK 74136-3347 · (918) 488-6001
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2007
Enumeration DateNovember 19, 2007
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1801077797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 5883
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.
530 S MAIDEN LN, Joplin, MO 64801

Other Identifiers 8

Medicaid1235178930MO
Other26-8535MO · Rh Medicare
Medicaid1801077797MO
Medicaid1447412770MO
Other26D0679044MO · Clia
Other597780303MO · Rh Medicaid
Other26D0889777MO · Clia
OtherP00849708MO · Rr Medicare

Accepted 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. John Derick Paulson Do 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 ID7416014568
PECOS Enrollment IDI20151026002356
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 John Paulson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
530 S MAIDEN LN
Joplin, MO 64801
  • Reassigned Medicare billing, Missouri enrollment
  • 66 clinicians in this Medicare group
Internal Medicine
336 S JEFFERSON ST
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
  • 65 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 64801 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.

Counselor
530 S MAIDEN LN
JOPLIN, MO 64801
Social Worker (Clinical)
530 S MAIDEN LN
JOPLIN, MO 64801
Family Medicine
530 S MAIDEN LN
JOPLIN, MO 64801
Dental Hygienist
530 S MAIDEN LN
JOPLIN, MO 64801
Dentist (Dental Public Health)
530 S MAIDEN LN
JOPLIN, MO 64801
Dental Hygienist
530 S MAIDEN LN
JOPLIN, MO 64801
Social Worker
530 S MAIDEN LN
JOPLIN, MO 64801
Clinic/Center (Federally Qualified Health Center (FQHC))
530 S MAIDEN LN
JOPLIN, MO 64801

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 Paulson's NPI number?

The NPI number for John Paulson is 1801077797. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is John Paulson located?

John Paulson practices at 530 S Maiden Ln, Joplin, MO 64801. The listed phone number is (417) 782-6200.

What is John Paulson's specialty?

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

Is John Paulson enrolled in Medicare?

Yes. John Paulson 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 John Paulson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Paulson reassigns Medicare benefits to 2 organizations: Ozark Tri-County Health Care Consortium (Joplin, MO) and Freeman Neosho Hospital (Neosho, 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 John Paulson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Paulson 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 8 other insurers list John Paulson 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 Paulson was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.