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

Q: 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.

Q: What is Paul Petry's specialty?

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

Q: 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.

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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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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