Individual provider Active NPI

Randall C Barnes, D.O.

  • Family Medicine Physician
  • Osage Beach, MO
National Provider Identifier
1275577926
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3A38 Issued in MO
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
241215805MedicaidMO
P00663674OtherMORAIL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000419 MO Practitioner - Family PracticePractitioner - General Practice 7315850104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
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

LicenseStateTypeSpecialty
R3A38MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2014 Accepting new patients
Lake Regional Health System Family Medicine CurrentSince Apr 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.