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PAUL DAVID PETRY D.O.
NPI 1942235155
Pediatrics in Joplin, MO

Active since July 12, 2006PECOS Enrolled
1030 MCINTOSH CIR STE 1, JOPLIN, MO 64804(417) 347-8750 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul David Petry D.o. NPPES

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

PAUL DAVID PETRY D.O. (NPI 1942235155) is an individual pediatrics provider in Joplin, Missouri, licensed in Missouri (111311) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942235155
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL DAVID PETRYCredential: D.O.
Location Address1030 MCINTOSH CIR STE 1Joplin, MO 64804-3690
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-3474
Phone(417) 347-8750
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1942235155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 111311
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1030 MCINTOSH CIR STE 1, Joplin, MO 64804
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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 (PECOS)

Paul David Petry 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 Paul Petry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Freeman-Oak Hill Health System
1.5 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605

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 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
$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 6

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

LINDSEY RAE MCCLINTICK D.O.
Pediatrics
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750
AARON LLOYD STAFFORD DO
Pediatrics
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750
DR. KATHRYN ELIZABETH GARRETT MD
Pediatrics
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750
SALAMAT AHUOIZA ALIU-IBRAHIM M.D.
Pediatrics
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750
FNU AREEBA MD
Pediatrics
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750
DR. MUHAMMAD USMAN SHAUKAT M.D
Pediatrics (Pediatric Gastroenterology)
1030 MCINTOSH CIR STE 1
JOPLIN, MO 64804
Newton County (417) 347-8750

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 Paul Petry's NPI number?

The NPI number for Paul Petry is 1942235155. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Paul Petry located?

Paul Petry practices at 1030 Mcintosh Cir Ste 1, Joplin, MO 64804. The listed phone number is (417) 347-8750.

What is Paul Petry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Petry enrolled in Medicare?

Yes. Paul Petry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Petry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Petry reassigns Medicare benefits to Freeman-Oak Hill Health System (Joplin, 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 Paul Petry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Petry 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 4 other insurers list Paul Petry 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 Paul Petry was last updated on March 14, 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.