Individual provider Active NPI

Druery J Dixon, M.D.

  • Family Medicine Physician
  • West Plains, MO
National Provider Identifier
1205948247
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8G07 Issued in MO
Practice address
181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089
Phone
(417) 257-5911
Fax
(417) 257-5913
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E4127 AR
Family Medicine Physician 207Q00000X R8G07 MO Primary

Addresses

Primary practice location

181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089

Mailing address

181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089
Phone (417) 257-5911

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
I20101008000987 MO Practitioner - Family Practice 0840241774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians
Servants Heart Healthcare, LLCGroup PAC ID 5991290322, 5 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029

311 Pine St
West Plains, MO 65775-2533
Phone (417) 221-6421

500 E 19TH St
Mountain Grove, MO 65711-1114
Phone (417) 926-6563

9104 State Hwy 19
Winona, MO 65588-8389
Phone (573) 325-4237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4127ARMDFamily Medicine Physician
R8G07MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Sep 22, 2012 Accepting new patients
Ozarks Medical Center Family Medicine CurrentSince Sep 22, 2012 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
West Plains Family Clinic Inc. Family Medicine Past Accepting new patients
Triage Emergency Physicians Past Accepting new patients
Caddoes Emergency Physicians LLC PastSince Oct 8, 2007 Accepting new patients

Locations

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

220 N Elm St
Mountain View, MO 65548
Phone (417) 296-6563

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1108 Alaska St
West Plains, MO 65775
Phone (417) 256-7137

1307 Porter Wagoner Blvd
West Plains, MO 65775
Phone (417) 255-8645

181 N Kentucky Ave
Ste 100
West Plains, MO 65775
Phone (417) 257-5911

311 Pine St
West Plains, MO 65775
Phone (417) 221-6421

9104 State Highway 19
Winona, MO 65588
Phone (573) 325-4237

Interoperability endpoints

  • Direct secure messaging: dr.dixon@mhccaremail.com
  • Direct secure messaging: druerydixon@omcmo.allscriptsdirect.net

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1205948247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-257-5911",
            "fax_number": "417-257-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-257-5911",
            "fax_number": "417-257-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DRUERY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4127",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8G07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.