Active NPI
John Charles Mace, M.D.
- Neurological Surgery Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 118061
- Practice address
- 3801 S National Ave
West Tower, Suite 700
Springfield, MO 65807-5210 - Phone
- (417) 885-3888
- Fax
- (417) 881-7638
- NPI assigned
- May 22, 2006
- Last updated
- Sep 30, 2021
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E3602 | AR | |
| Neurological Surgery Physician | 207T00000X | 118061 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
West Tower, Suite 700
Springfield, MO 65807-5210
Mailing address
PO Box 9434
Springfield, MO 65801-9434
Phone (417) 885-3888
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5M988 | Other | AR | ARKANSAS BC/BS |
| 18942 | Other | MO | COX HEALTH PLANS |
| 203985700 | Medicaid | MO | |
| 5M988 | Other | AR | HEALTH ADVANTAGE |
| 04040017000 | Other | MO | QUAL CHOICE |
| 0215049 | Other | WA | DEPARTMENT OF LABOR WA |
| 119340 | Other | MO | BLUE CROSS/CHOICE |
| 0156395001 | Other | MO | CIGNA HEALTHCARE |
| 139629001 | Medicaid | AR | |
| 4188130001 | Other | MO | CIGNA MEDICARE |
| 0602002 | Other | MO | UNITED HEALTHCARE |
| 412307 | Other | MO | HEALTHLINK |
| 5M988 | Other | AR | ARKANSAS FIRST SOURCE |
| G93208 | Other | MO | USPS (W/C) |
| 7623 | Other | MO | COX HEALTH PLANS UPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Missouri, Columbia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
121 Cahill Rd
Suite 205
Branson, MO 65616-1911
Phone (417) 885-3888
3801 S National Ave
Suite 700
Springfield, MO 65807-5210
Phone (417) 885-3888
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 169 |
| Laminectomy or laminotomy (partial removal of spine bones) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118061 | MO | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Neurological Institute, L.L.C. | Neurological Surgery | Current | Accepting new patients |
| Washington Regional Medical System | Neurological Surgery | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| Springfield Neurological and Spine Institute | Neurological Surgery | Current | Accepting new patients |
| Springfield Neurological Institute, L.L.C. | Neurological Surgery | Current | Accepting new patients |
| Springfield Neurological and Spine Institute | Neurological Surgery | Current | Accepting new patients |
| Springfield Neurological and Spine Institute | Neurological Surgery | Current | Accepting new patients |
| Springfield Neurological and Spine Institute | Neurological Surgery | Current | Accepting new patients |
| Springfield Neurological and Spine Institute | Neurological Surgery | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
3336 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 444-8827
3 Medical Plz
Mountain Home, AR 72653
Phone (870) 424-3400
607 N Town
Mountain Home, AR 72653
Phone (870) 424-7033
121 Cahill Rd
Ste 205
Branson, MO 65616
Phone (417) 348-8253
1050 W 10th St
Ste 350
Rolla, MO 65401
Phone (573) 426-6239
1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207
2900 S National Ave
Springfield, MO 65804
Phone (417) 269-1499
2900 S National Ave
Ste 500
Springfield, MO 65804
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207
Interoperability endpoints
- j.mace@cernerdirect.coxhealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1508169764
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1427002005
AR
-
- Neurological Surgery Physician
- Mountain Home, AR
- NPI 1659675148
-
dba Northwest Arkansas Neuroscience Institute
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1104097500
-
- Neurological Surgery Physician
- Branson, MO
- NPI 1740422104
-
- Neurological Surgery Physician
- Mountain Home, AR
- NPI 1275917411
-
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1790062859
-
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1093088593
-
dba Washington Regional Family Clinic - Farmington
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Neurological Surgery Physician
- Carthage, MO
- NPI 1801190392
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
-
dba Cox Medical Center Branson
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1114971264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9434",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658019434",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"address_2": "WEST TOWER, SUITE 700",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACE",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AR",
"license": "E3602",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "118061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BC/BS",
"identifier": "5M988",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH PLANS",
"identifier": "18942",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203985700",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE",
"identifier": "5M988",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "04040017000",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR WA",
"identifier": "0215049",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/CHOICE",
"identifier": "119340",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "0156395001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139629001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "4188130001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0602002",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "412307",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS FIRST SOURCE",
"identifier": "5M988",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USPS (W/C)",
"identifier": "G93208",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH PLANS UPI",
"identifier": "7623",
"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 30, 2021; 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.