Individual provider Active NPI

Michael Robert Tobin, MD

  • Emergency Medicine Physician
  • Lebanon, MO
National Provider Identifier
1548725013
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2022029953 Issued in MO
Practice address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone
(417) 533-6100
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1548725013 WA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 32811 NE
Emergency Medicine Physician 207P00000X 2022029953 MO Primary

Addresses

Primary practice location

100 Hospital Dr
Lebanon, MO 65536-9210

Mailing address

9040 Jackson Avenue
Tacoma, WA 98431-1000
Phone (253) 968-1250

Other practice location 1

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 2

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-9111

Other practice location 3

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0035

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
I20221208002863 MO Practitioner - Emergency Medicine 1254750763 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps County Regional Medical CenterGroup PAC ID 2860391158, 111 clinicians
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Potosi Emergency Group, LLCGroup PAC ID 0648588541, 19 clinicians
Ripley Emergency Group LLCGroup PAC ID 1254757446, 35 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017
  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186
  • Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059
  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022029953MOMDEmergency Medicine Physician
32811NEMDGeneral Practice Physician
1548725013WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Cassville CurrentSince Feb 13, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Feb 13, 2023 Accepting new patients
Sikeston Emergency Group LLC Emergency Medicine CurrentSince Feb 3, 2023 Accepting new patients
Texas County Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Ozarks Medical Center CurrentSince May 2, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 13, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Phelps County Regional Medical Center CurrentSince Feb 14, 2025 Accepting new patients
Mercy Hospital Aurora CurrentSince Feb 13, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Feb 13, 2023 Accepting new patients
Mercy Hospital Cassville CurrentSince Feb 13, 2023 Accepting new patients
Mercy Hospital Carthage CurrentSince Feb 13, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Feb 13, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Feb 14, 2025 Accepting new patients
Ozarks Medical Center CurrentSince May 2, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 13, 2023 Accepting new patients
Mercy Hospital Carthage Emergency Medicine CurrentSince Feb 13, 2023 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Sep 5, 2025 Accepting new patients
Ripley Emergency Group, LLC Emergency Medicine CurrentSince Dec 23, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Potosi Emergency Group, LLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

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

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1548725013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "253-968-1250",
            "fax_number": "253-968-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-257-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4430 Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654739098",
            "country_code": "US",
            "telephone_number": "573-596-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "1548725013",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "32811",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022029953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.