Silvia Pagoada Vallecillo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018023741 Issued in MO

Practice address

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Phone

(573) 776-2000

NPI assigned

Oct 21, 2014

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians

Butler Physician Services, LLCGroup PAC ID 6608164561, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Merit-based Incentive Payment System (MIPS)

Final score

50.12 of 100Reported as group

Quality

2.83

Improvement activities

40

Cost

82.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Butler Physician Services, LLC

  • Internal Medicine Physician
  • Poplar Bluff, MO
  • NPI 1982056545
  Medicare reassignment Care Compare group NPD
• Missouri HB Medical Services, LLC

  • Emergency Medicine Physician
  • Poplar Bluff, MO
  • NPI 1922868462
  Medicare reassignment Care Compare group NPD
• Ies HSP Missouri LLC

  • Hospitalist Physician
  • West Plains, MO
  • NPI 1962102871
  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD (past)

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

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  Care Compare affiliation

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1144624982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK GROVE RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK GROVE RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011573",
            "telephone_number": "573-776-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOADA VALLECILLO",
        "first_name": "SILVIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018023741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Rural Healthcare LLC
• Ozark Specialty Pharmacy and Home Infusion, LLC
• Ozark Specialty Pharmacy and Home Infusion, LLC (Ozark Pharmacy, LTC)
• Ozark Specialty Pharmacy and Home Infusion, LLC (Ozark Pharmacy)
• Teri Lynn Page, O.D.
• Christal Dawn Painter
• Natosha Renea Painter
• Palladian Senior Care of Poplar Bluff LLC. (Oakdale Care Center ALF)
• Palladian Senior Care of Poplar Bluff LLC. (Oakdale Care Center)
• Palladian Senior Care of Poplar Bluff LLC. (Oakdale Care Center RCF)

• Family Medicine Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.