Kevin Clay Christian, D.O.
Individual provider Active NPI Surgery Physician · Joplin, MO
NPI 1194019968 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1194019968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2015006389 (MO)
- Practice address
- 1020 McIntosh Cir Ste 200
Joplin, MO 64804-3689 - Phone
- (417) 347-1111
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Nova Southeastern College of Osteo Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman-Oak Hill Health System
Freeman Neosho Hospital
Practice addresses (Care Compare)
100 N Pine St
Pittsburg, KS 66762-4756
Phone (620) 231-3750
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
113 W Hickory
Neosho, MO 64850-1705
113 W Hickory St
Neosho, MO 64850-1705
Phone (417) 451-1234
1606 N Broadway St
Pittsburg, KS 66762-3022
Phone (620) 308-7245
336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4200
Hospital & facility affiliations
- Freeman Health System - Freeman West
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611001226 | MO | Practitioner - General Surgery |
8224258686 | Reassigns benefits to 3 organizations |
| I20230119003110 | KS | Practitioner - General Surgery | 8224258686 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-47062 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Surgery | Current |
Accepting new patients |
| Freeman Neosho Hospital | Surgery | Current |
Accepting new patients |
| Freeman Surgical Center of Pittsburg, LLC | Current |
Accepting new patients | |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients |
Locations
1606 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-0958
100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750
3302 McIntosh Cir
Ste 1
Joplin, MO 64804
Phone (417) 347-7272
1020 McIntosh Cir
Ste 200
Joplin, MO 64804
Phone (417) 347-8088
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200
113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 05-47062 | KS | |
| Surgery Physician | 208600000X | 2015006389 | MO | Yes |
Addresses
Primary practice location
1020 McIntosh Cir Ste 200
Joplin, MO 64804-3689
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662
Other practice location 1
100 N Pine St
Pittsburg, KS 66762-4756
Phone (620) 231-9072
Other practice location 2
1606 N Broadway St
Pittsburg, KS 66762-3022
Phone (620) 231-0958
Other practice location 3
3302 McIntosh Cir Ste 1
Joplin, MO 64804-3639
Phone (417) 347-7272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200022972 | Medicaid | MO |
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.