Individual provider Active NPI

Gregory Havermale II, D.O.

  • Family Medicine Physician
  • Branson, MO
National Provider Identifier
1386026706
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018012786 Issued in MO
Practice address
1150 State Highway 248 Ste 202
Branson, MO 65616-3729
Phone
(417) 335-2299
NPI assigned
Jun 22, 2015
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 2018012786 MO Primary

Addresses

Primary practice location

1150 State Highway 248 Ste 202
Branson, MO 65616-3729

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other practice location 1

3555 S National Ave
Springfield, MO 65807-7310
Phone (417) 875-3800

Other identifiers 1

IdentifierTypeStateIssuer
200070827MedicaidMO

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
I20190820000171 MO Practitioner - Family Practice 3072827237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, shared by 17 NPIs, 222 clinicians
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

525 Branson Landing Blvd
Suite 401
Branson, MO 65616-2064
Phone (417) 330-3480

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018012786MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association Current Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 16, 2019 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1150 State Highway 248
Ste 202
Branson, MO 65616
Phone (417) 348-8964

121 Cahill Rd
Ste 206
Branson, MO 65616
Phone (417) 348-8100

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

525 Branson Landing Blvd
Ste 401
Branson, MO 65616
Phone (417) 330-3480

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1386026706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248 STE 202",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163729",
            "telephone_number": "417-335-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077310",
            "country_code": "US",
            "telephone_number": "417-875-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVERMALE",
        "first_name": "GREGORY",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018012786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200070827",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.