NPIMap

Individual provider Active NPI

Samuel Franklin Thompson, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Columbia, MO
National Provider Identifier
1164878237
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
2022011296 Issued in MO
Practice address
1 S Keene St
Columbia, MO 65201-7199
Phone
(573) 443-2402
NPI assigned
May 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 32382 OK
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 2022011296 MO Primary

Addresses

Primary practice location

1 S Keene St
Columbia, MO 65201-7199

Mailing address

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402

Other practice location 1

711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023
Phone (405) 271-4906

Other practice location 2

2445 Army Navy Dr
Arlington, VA 22206-2988
Phone (703) 619-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210810001703 DC Practitioner - Orthopedic Surgery 6709170772 Reassigns benefits to 1 organization
I20220608001142 MO Practitioner - Orthopedic Surgery 6709170772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Orthopaedic Group LLPGroup PAC ID 9335042811, 91 clinicians

Practice addresses (Care Compare)

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement82
Knee replacement113
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32382OKMDOrthopaedic Surgery Physician
2022011296MOMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Anderson Clinic LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
SSM Regional Health Services CurrentSince Nov 1, 2024 Accepting new patients
Columbia Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Aug 1, 2022 Accepting new patients
SSM Regional Health Services Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Anderson Clinic LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
SSM Regional Health Services Current Accepting new patients
Ou Health Partners, Inc Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

Interoperability endpoints

  • Direct secure messaging: sthompson265381@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1164878237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017199",
            "telephone_number": "573-443-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017199",
            "telephone_number": "573-443-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Stanton L Young Blvd",
            "address_2": "PPB-111",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045023",
            "country_code": "US",
            "telephone_number": "405-271-4906",
            "fax_number": "405-271-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2445 Army Navy Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222062988",
            "country_code": "US",
            "telephone_number": "703-619-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAMUEL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-08-30",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "32382",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "2022011296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.