Active NPI
Randall C Barnes, D.O.
- Family Medicine Physician
- Osage Beach, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R3A38
- Practice address
- 1057 Medical Park Dr
Suite a
Osage Beach, MO 65065-3000 - Phone
- (573) 302-3200
- Fax
- (573) 302-3210
- NPI assigned
- Jun 15, 2006
- Last updated
- Mar 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3A38 | MO | Primary |
Addresses
Primary practice location
1057 Medical Park Dr
Suite a
Osage Beach, MO 65065-3000
Mailing address
PO Box 1500
Osage Beach, MO 65065-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241215805 | Medicaid | MO | |
| P00663674 | Other | MO | RAIL ROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.19 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3A38 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Family Medicine | Current | Accepting new patients |
| SSM Regional Health Servcies | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients |
Locations
1930 N Business Route 5
Camdenton, MO 65020
Phone (573) 346-5624
226 E US Highway 54
Camdenton, MO 65020
Phone (573) 346-3700
304A E 4th St
Eldon, MO 65026
Phone (573) 392-5654
156 Missouri Blvd
Gravois Mills, MO 65037
Phone (573) 374-5263
2333 Highway 17
Iberia, MO 65486
Phone (573) 793-6900
1870 Bagnell Dam Blvd
Lake Ozark, MO 65049
Phone (573) 365-2318
755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805
1057 Medical Park Dr
#A
Osage Beach, MO 65065
Phone (573) 302-3200
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- randallbarnes@mhccaremail.com
Organizations & group practices 6
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Osage Beach, MO
- NPI 1053581454
-
dba Lake Regional Orthopedics
- Durable Medical Equipment & Medical Supplies
- Lebanon, MO
- NPI 1578125324
-
- Internal Medicine Physician
- Osage Beach, MO
- NPI 1962828616
Family Medicine
-
dba St. Marys Urgent Care at the Lake
- Urgent Care Clinic/Center
- Lake Ozark, MO
- NPI 1316993256
-
dba St. Marys Eldon Medical Clinic
- Clinic/Center
- Eldon, MO
- NPI 1528014156
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1922119726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1275577926",
"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": "1057 MEDICAL PARK DR",
"address_2": "SUITE A",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653000",
"telephone_number": "573-302-3200",
"fax_number": "573-302-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "RANDALL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R3A38",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241215805",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00663674",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.