Individual provider Active NPI

Richard Gray Tompson, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • West Plains, MO
National Provider Identifier
1245235456
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD 102941 Issued in MO
Practice address
1410 Doctors Dr
West Plains, MO 65775-4754
Phone
(417) 256-2225
Fax
(417) 256-2373
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD 102941 MO Primary

Addresses

Primary practice location

1410 Doctors Dr
West Plains, MO 65775-4754

Mailing address

1410 Doctors Dr
West Plains, MO 65775-4754
Phone (417) 256-2225

Other identifiers 1

IdentifierTypeStateIssuer
208595314MedicaidMO

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
I20050411000001 MO Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7911954201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
80.1
Promoting interoperability
94
Improvement activities
40
Cost
83.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 102941MOMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Associates LLC Pain Medicine CurrentSince Jan 1, 2005 Accepting new patients
West Plains Surgery Center LLC PastSince Jan 31, 2005 Accepting new patients
Ozarks Anesthesia Associates LLC Pain Medicine PastSince Dec 20, 2006 Accepting new patients

Locations

1390 Bill Virdon Blvd
West Plains, MO 65775
Phone (417) 256-2225

1410 Doctors Dr
West Plains, MO 65775
Phone (417) 255-2010

1407 Doctors Dr
West Plains, MO 65775
Phone (417) 256-2225

1401 Doctors Dr
West Plains, MO 65775
Phone (417) 256-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1245235456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 DOCTORS DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754754",
            "telephone_number": "417-256-2225",
            "fax_number": "417-256-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 DOCTORS DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754754",
            "telephone_number": "417-256-2225",
            "fax_number": "417-256-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPSON",
        "first_name": "RICHARD",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "MD 102941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208595314",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.