Individual provider Active NPI

Amy B Thompson, M.D.

  • Obstetrics & Gynecology Physician
  • Osage Beach, MO
National Provider Identifier
1457454704
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2010017715 Issued in MO
Practice address
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone
(573) 302-2764
Fax
(573) 302-2767
NPI assigned
Sep 5, 2006
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2010017715 MO Primary

Addresses

Primary practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Mailing address

P O Box 158
512 W Main St
Cole Camp, MO 65325-0158
Phone (660) 668-0851

Other practice location 1

3700 W 10th Street
Suite 100
Sedalia, MO 65301-2540
Phone (660) 827-0015

Other identifiers 3

IdentifierTypeStateIssuer
P00892381OtherMORAILROAD MEDICARE
1457454704MedicaidMO
44571021OtherMOBCBS OF KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, HI3 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
I20100916001185 MO Practitioner - Obstetrics/Gynecology 7012032816 Reassigns benefits to 2 organizations
I20171130000437 TX Practitioner - Obstetrics/Gynecology 7012032816 Reassigns benefits to 1 organization
I20190216000067 HI Practitioner - Obstetrics/Gynecology 7012032816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, shared by 16 NPIs, 132 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050

74 -517 Honokohau St
Kailua Kona, HI 96740-2715
Phone (808) 432-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 17, 2017 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 21, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 17, 2017 Accepting new patients
Queens North Hawaii Community Hospital Obstetrics & Gynecology CurrentSince Sep 15, 2021 Accepting new patients
Lake Regional Health System CurrentSince Apr 1, 2021 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients
North Hawaii Community Hospital, Inc CurrentSince Sep 15, 2021 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Lake Regional Health System Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 21, 2017 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Past Accepting new patients
Lake Regional Health System Past Accepting new patients
Queens North Hawaii Community Hospital Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

74-517 Honokohau St
Kailua Kona, HI 96740
Phone (808) 334-4400

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

80 Mahalani St
Wailuku, HI 96793
Phone (808) 243-6000

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

416 S Maple St
Ste C
Eldon, MO 65026
Phone (573) 302-2764

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

3801 S National Ave
Ste 1122
Springfield, MO 65807

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1457454704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 158",
            "address_2": "512 W MAIN ST",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653250158",
            "telephone_number": "660-668-0851",
            "fax_number": "660-668-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-2764",
            "fax_number": "573-302-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 10th Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653012540",
            "country_code": "US",
            "telephone_number": "660-827-0015",
            "fax_number": "660-827-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2010017715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00892381",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457454704",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "44571021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.