Active NPI
Benny Earl Thomas, D.O.
- Pain Medicine Physician
- Waynesville, MO
National Provider Identifier
1316960115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 34548
- Practice address
- 215 North St
Waynesville, MO 65583 - Phone
- (573) 774-6279
- Fax
- (573) 774-5626
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34548 | MO | |
| Pain Medicine Physician | 208VP0000X | 34548 | MO | Primary |
Addresses
Primary practice location
215 North St
Waynesville, MO 65583
Mailing address
PO Box 4503
215 North St.
Waynesville, MO 65583
Phone (573) 774-6279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240424606 | Medicaid | MO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34548 | MO | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osage Beach Cardiology LTD | Past | Accepting new patients | |
| Medicom, Inc. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Waynesville, MO
- NPI 1336171032
-
- Oxygen Equipment & Supplies (DME)
- Waynesville, MO
- NPI 1376759514
-
- Cardiovascular Disease Physician
- Camdenton, MO
- NPI 1770693277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1316960115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4503",
"address_2": "215 NORTH ST.",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-774-6279",
"fax_number": "573-774-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NORTH ST",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-774-6279",
"fax_number": "573-774-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BENNY",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "34548",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MO",
"license": "34548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240424606",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.