Active NPI
Gregory Havermale II, D.O.
- Family Medicine Physician
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2018012786
- 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, 2025
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200070827 | 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
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
- Skaggs Community Hospital Association
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012786 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Family Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Current | 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.
-
dba CoxHealth Urgent Care Branson
- Urgent Care Clinic/Center
- Branson, MO
- NPI 1255870853
-
dba CoxHealth Orthopedics
- Orthopaedic Surgery Physician
- Branson, MO
- NPI 1871523357
-
- Physical Therapist
- Springfield, MO
- NPI 1770628620
-
- Multi-Specialty Clinic/Center
- Branson, MO
- NPI 1518040443
-
dba CoxHealth Family Medicine Branson
- Family Medicine Physician
- Branson, MO
- NPI 1356291298
-
dba Cox Medical Center Branson
- Urgent Care Clinic/Center
- Branson, MO
- NPI 1487423109
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Branson, MO
- NPI 1457928095
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
-
dba Cox Medical Center Branson
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.