NPIMap

Individual provider Active NPI

John C Patton, DO

  • Surgery Physician
  • Osage Beach, MO
National Provider Identifier
1194737346
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2006017517 Issued in MO
Practice address
54 Hospital Dr
Ste 205
Osage Beach, MO 65065-3050
Phone
(573) 302-2299
Fax
(573) 302-2296
NPI assigned
Aug 13, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 2006017517 MO Primary

Addresses

Primary practice location

54 Hospital Dr
Ste 205
Osage Beach, MO 65065-3050

Mailing address

PO Box 1500
Osage Beach, MO 65065-1500

Other identifiers 2

IdentifierTypeStateIssuer
1194737346MedicaidMO
2006017517OtherMOMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070203000075 MO Practitioner - General SurgeryPractitioner - Emergency Medicine 1456353424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
65.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System CurrentSince Apr 1, 2025 Accepting new patients
Lake Regional Health System CurrentSince Jun 3, 2022 Accepting new patients
Lake Regional Medical Management, Inc. CurrentSince Jul 12, 2010 Accepting new patients
Lake Regional Health System Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Carthage Emergency Physicians LLC Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Lake Regional Health System Past Accepting new patients

Locations

1052 Nichols Rd
Osage Beach, MO 65065
Phone (573) 302-7036

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

54 Hospital Dr
#205
Osage Beach, MO 65065

54 Hospital Dr
Ste 205
Osage Beach, MO 65065
Phone (573) 302-2276

Interoperability endpoints

  • Direct secure messaging: johnpatton@mhccaremail.com
  • Direct secure messaging: lakeregionalgeneralsurgery@mhccaremail.com

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Regional Health SystemOsage Beach, MO, CCN 260186 Hospital Corporate Director Jun 3, 2022
Lake Regional Health SystemOsage Beach, MO, CCN 265429 Skilled nursing facility Managing Control - Governing Body Jun 3, 2022
Lake Regional HospiceOsage Beach, MO, CCN 261672 Hospice Corporate Director Jan 1, 2017
Lake Regional Clinic-Osage BeachOsage Beach, MO, CCN 268709 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Clinic-IberiaIberia, MO, CCN 268710 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Clinic CamdentonCamdenton, MO, CCN 268707 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Clinic-Lake OzarkLake Ozark, MO, CCN 268711 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Clinic-LaurieGravois Mills, MO, CCN 268708 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Clinic-LebanonLebanon, MO, CCN 268785 Rural health clinic Corporate Director Jun 3, 2022
Lake Regional Obstetrics & GynecologyOsage Beach, MO, CCN 268786 Rural health clinic Corporate Director Jun 3, 2022

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1194737346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "STE 205",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-2299",
            "fax_number": "573-302-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2006017517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194737346",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2006017517",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.