Individual provider Active NPI

Michael David Hubbard, D.O.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1043574650
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2012017895 Issued in MO
Practice address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone
(314) 966-9491
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 05-50963 KS
Orthopaedic Surgery Physician 207X00000X 2012017895 MO Primary

Addresses

Primary practice location

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Mailing address

2073 Appaloosa TRL
High Ridge, MO 63049-1768
Phone (660) 353-9852

Other practice location 1

1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (620) 783-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150209002065 MO Practitioner - General Practice 4486979721 Reassigns benefits to 2 organizations
I20170711000170 AR Practitioner - Orthopedic Surgery 4486979721 Reassigns benefits to 1 organization
I20250602002756 KS Practitioner - Orthopedic Surgery 4486979721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Mercy Clinic Pittsburg
Pittsburg, KS 66762-7587
Phone (620) 235-7900

100 Mercy Way
430 Mercy Clinic Joplin Orthopedics
Joplin, MO 64804-4524
Phone (417) 556-2278

Hospital & facility affiliations

  • Ascension at Home Home health agency, Pittsburg, KS, CCN 177145
  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
  • Girard Medical Center Hospital, Girard, KS, CCN 171376
  • Labette Health Hospital, Parsons, KS, CCN 170120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement29
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-50963KSMDOrthopaedic Surgery Physician
2012017895MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Aug 1, 2025 Accepting new patients
Mercy Clinic Pittsburg LLC CurrentSince Jun 2, 2025 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Dec 10, 2014 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Dec 10, 2014 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Arkansas Healthcare Services LLC Orthopaedic Surgery CurrentSince Jul 10, 2017 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. PastSince May 20, 2013 Accepting new patients

Locations

1900 Malvern Ave
Ste 301
Hot Springs National Park, AR 71901
Phone (501) 321-0555

104 Hollywood Ave
Hot Springs National Park, AR 71901
Phone (501) 321-0555

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

100 Mercy Way
#430
Joplin, MO 64804
Phone (417) 556-2278

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Networks

  • IA HMO
  • IA HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1043574650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 APPALOOSA TRL",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630491768",
            "telephone_number": "660-353-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mt Carmel Way",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667627587",
            "country_code": "US",
            "telephone_number": "620-783-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "05-50963",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2012017895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.