Individual provider Active NPI

George Chapman Olive II, MD

  • Surgery Physician
  • Springfield, MO
National Provider Identifier
1154412989
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R9G11 Issued in MO
Practice address
3555 S National Ave Ste 502
Springfield, MO 65807-7310
Phone
(417) 269-7444
Fax
(417) 875-3459
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R9G11 MO Primary

Addresses

Primary practice location

3555 S National Ave Ste 502
Springfield, MO 65807-7310

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 269-5712

Other identifiers 2

IdentifierTypeStateIssuer
158168001MedicaidAR
202546818MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000025 MO Practitioner - General SurgeryPractitioner - Emergency Medicine 9830121631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
Johns Hopkins University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

3805 S Kansas Expy B
Coxhealth Center Chesterfield
Springfield, MO 65807-6989
Phone (417) 269-0269

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Surgery CurrentSince Nov 1, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 1, 2020 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3801 S National Ave
Ste 1122
Springfield, MO 65807

1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275

3555 S National Ave
Ste 502
Springfield, MO 65807
Phone (417) 269-7444

3850 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-0700

3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269

Interoperability endpoints

  • Direct secure messaging: g.olive@cernerdirect.coxhealth.com

Organizations & group practices 5

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 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1154412989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S NATIONAL AVE STE 502",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-269-7444",
            "fax_number": "417-875-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "GEORGE",
        "middle_name": "CHAPMAN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R9G11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158168001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202546818",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.