JOHN QUINCY ELLIOTT DO
NPI 1922090125
Family Medicine in Poplar Bluff, MO

Q: What is John Elliott's NPI number?

The NPI number for John Elliott is 1922090125. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is John Elliott'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 John Elliott was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 16, 2005PECOS Enrolled

2480 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901(573) 785-4600(573) 785-4611 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Quincy Elliott Do NPPES

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

JOHN QUINCY ELLIOTT DO (NPI 1922090125) is an individual family medicine provider in Poplar Bluff, Missouri, licensed in Missouri (2005039927) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922090125

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN QUINCY ELLIOTTCredential: DO

Location Address2480 THREE RIVERS BLVDPoplar Bluff, MO 63901-2318

Mailing Address2480 Three Rivers BlvdPoplar Bluff, MO 63901-2318 · (573) 785-4600 · Fax (573) 785-4611

Phone(573) 785-4600

Fax(573) 785-4611

Sole ProprietorYes

Enumeration DateAugust 16, 2005

Last NPPES UpdateMay 20, 2015

✔ NPI 1922090125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2005039927✔ Licensed in IN · 02002722A

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.

2480 THREE RIVERS BLVD, Poplar Bluff, MO 63901

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Other Identifiers 3

Medicare ID-Type Unspecified281850H

Medicaid200111230AIN

Medicare UPINB49000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Quincy Elliott Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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 3

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.59 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$0.10 avg. paid by Medicare

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

DME-Other DME · category DE000N

1 supplier11 claims11 services$26.09 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 6

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

SHELLY Y GRESHAM RNC-FNP

Nurse Practitioner