Individual provider Active NPI

Cory Bryant Emmert, DO

  • Surgery Physician
  • Joplin, MO
National Provider Identifier
1386173375
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2022014404 Issued in MO
Practice address
1020 McIntosh Cir
Joplin, MO 64804-3642
Phone
(417) 781-6845
NPI assigned
Jun 5, 2017
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2022014404 MO Primary

Addresses

Primary practice location

1020 McIntosh Cir
Joplin, MO 64804-3642

Mailing address

PO Box 3810
Joplin, MO 64803-3810

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other practice location 2

336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4200

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
I20220614002421 MO Practitioner - General Surgery 6709139678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians
Freeman Neosho HospitalGroup PAC ID 4284624552, shared by 6 NPIs, 43 clinicians

Practice addresses (Care Compare)

1020 McIntosh Cir
Suite 102
Joplin, MO 64804-3689
Phone (417) 781-6844

336 S Jefferson St
Freeman Neosho Physician Group
Neosho, MO 64850-1769
Phone (417) 455-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Hernia repair (minimally invasive)1-10
Mastectomy13
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital Surgery CurrentSince Jul 18, 2022 Accepting new patients
Freeman Neosho Hospital CurrentSince Jul 18, 2022 Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients
Freeman-Oak Hill Health System Surgery CurrentSince Jul 18, 2022 Accepting new patients
Freeman-Oak Hill Health System PastSince Jul 17, 2022 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1020 McIntosh Cir
Ste 102
Joplin, MO 64804
Phone (417) 781-6844

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

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.

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1386173375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCINTOSH CIR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648501769",
            "country_code": "US",
            "telephone_number": "417-455-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "CORY",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2022014404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.