Individual provider Active NPI

Derek S Towery, MD

  • Dermatology Physician
  • Joplin, MO
National Provider Identifier
1346237351
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
100734 Issued in MO
Practice address
2829 S Jackson Ave
Joplin, MO 64804-2525
Phone
(417) 624-0440
Fax
(417) 624-9652
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 100734 MO Primary

Addresses

Primary practice location

2829 S Jackson Ave
Joplin, MO 64804-2525

Mailing address

2829 S Jackson Ave
Joplin, MO 64804-2525
Phone (417) 624-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081208000727 MO Practitioner - Dermatology 1355402462 Reassigns benefits to 1 organization
I20210210001003 OK Practitioner - Dermatology 1355402462 Reassigns benefits to 1 organization
I20241113001946 KS Practitioner - Dermatology 1355402462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, shared by 2 NPIs, 44 clinicians

Practice addresses (Care Compare)

115 W 13TH St
Grove, OK 74344-3224
Phone (417) 624-0440

2401 S Tucker Ave
Suite 6
Pittsburg, KS 66762-6619
Phone (417) 624-0440

2829 S Jackson Ave
Joplin
Joplin, MO 64804-2525
Phone (417) 624-0440

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions3023
Removal or shaving of skin growth67
Skin biopsy341

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Cancer Specialists, LLC Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. Dermatology CurrentSince Feb 1, 2021 Accepting new patients

Locations

11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546

3435 E 7th St
Joplin, MO 64801
Phone (417) 642-6225

2829 S Jackson Ave
Joplin, MO 64804
Phone (417) 623-5111

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

900 E 13th St
Ste 101
Grove, OK 74344
Phone (417) 624-0440

115 W 13th St
Grove, OK 74344
Phone (918) 786-2226

Interoperability endpoints

  • Direct secure messaging: derek.towery.1@15122.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1346237351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042525",
            "telephone_number": "417-624-0440",
            "fax_number": "417-624-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042525",
            "telephone_number": "417-624-0440",
            "fax_number": "417-624-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWERY",
        "first_name": "DEREK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "100734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.