Active NPI
Geoffrey Glen Graham, DO
- Gastroenterology Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2016028963
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-4570
- NPI assigned
- May 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2016028963 | MO | Primary |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161229000972 | MO | Practitioner - Gastroenterology | 5496926503 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman-Oak Hill Health System
Practice addresses (Care Compare)
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
Hospital & facility affiliations
- Freeman Health System - Freeman West
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 41 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Internal Medicine | Current | Accepting new patients |
| Ctca Physicans Group of Oklahoma, Inc | Past | Accepting new patients |
Locations
921 E 34th St
Ste 2
Joplin, MO 64804
Phone (417) 781-7110
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
Internal Medicine, MO
-
- Ambulance
- Anderson, MO
- NPI 1043252646
-
- Oxygen Equipment & Supplies (DME)
- Neosho, MO
- NPI 1063477800
-
- Psychiatric Hospital Unit
- Joplin, MO
- NPI 1073627584
-
- Rehabilitation Hospital Unit
- Joplin, MO
- NPI 1083728026
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Joplin, MO
- NPI 1174637953
-
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1194972869
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- Oxygen Equipment & Supplies (DME)
- Joplin, MO
- NPI 1396700621
-
- Home Health Agency
- Joplin, MO
- NPI 1407942220
-
- Community/Retail Pharmacy
- Neosho, MO
- NPI 1790743698
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1003041625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043503",
"telephone_number": "417-347-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "GEOFFREY",
"middle_name": "GLEN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2016028963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.