Active NPI
Craig W. Naugle, MD
- MOHS-Micrographic Surgery Physician
- Springfield, MO
National Provider Identifier
1104805381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 2002004006
- Practice address
- 3808 S. Greystone CT.
Springfield, MO 65804 - Phone
- (417) 889-3332
- Fax
- (417) 881-1410
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2002004006 | MO | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2002004006 | MO | Primary |
Addresses
Primary practice location
3808 S. Greystone CT.
Springfield, MO 65804
Mailing address
3808 S. Greystone CT.
Springfield, MO 65804
Phone (417) 889-3332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156131 | Other | BLUECROSS BLUESHIELD | |
| 205957103 | Medicaid | MO |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3808 S Greystone CT
Springfield, MO 65804-6561
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.06 of 100
- Quality
- 71.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 61 |
| Removal of skin lesions | 132 |
| Removal of skin cancer | 660 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenifer Insley MD LLC | Dermatology | Current | Accepting new patients |
| Raffaele Pennella MD LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Dermatology | Past | Accepting new patients |
Locations
3808 S Greystone Ct
Springfield, MO 65804
Phone (417) 889-3332
Interoperability endpoints
- craig.naugle@cernerdirect.coxhealth.com
Organizations & group practices 4
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.
-
- Dermatology Physician
- Springfield, MO
- NPI 1386678522
-
- Dermatology Physician
- Springfield, MO
- NPI 1649793076
-
- Dermatopathology Physician
- Springfield, MO
- NPI 1568992782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1104805381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 S. GREYSTONE CT.",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-889-3332",
"fax_number": "417-881-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 S. GREYSTONE CT.",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-889-3332",
"fax_number": "417-881-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUGLE",
"first_name": "CRAIG",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2002004006",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MO",
"license": "2002004006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "156131",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205957103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.