Clifford Strupp, MD, MBA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2017038041 Issued in MO

Practice address

1706 Prospect Dr
Macon, MO 63552-2615

Phone

(660) 385-1006

NPI assigned

Oct 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: clifford.strupp.1@27998.direct.athenahealth.com

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.

• Interventional Pain Institute, LLC

  • Interventional Pain Medicine Physician
  • Troy, MO
  • NPI 1013779271
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1184136558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUPP",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MO",
            "license": "2017038041",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2017038041",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017038041",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017038041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220050391",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF HEALING ARTS",
            "identifier": "2017038041",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Schornheuser
• Cynthia Marie Seiler, M.P.T.
• Kirsten Renae Simms, OTRL
• Shannon M Sims, RDH
• Lillian M Snider, MA, LPC
• Surgical Care Center, LLC
• Jason Lee Taylor, PHARM D
• Matthew Theriac, D.D.S.
• Thomas Thurman, D.C.
• Vision Care Associates, LLC

• General Practice Physician in Macon, MO
• Providers in Macon, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.