NPIMap

Individual provider Active NPI

Jeffrey Fears, MD

  • Internal Medicine Physician
  • Lebanon, MO
National Provider Identifier
1598738536
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019035085 Issued in MO
Practice address
441 W Elm St
Lebanon, MO 65536-3523
Phone
(417) 532-2805
Fax
(417) 532-2848
NPI assigned
Feb 9, 2006
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019035085 MO Primary
Internal Medicine Physician 207R00000X 164855 NY

Addresses

Primary practice location

441 W Elm St
Lebanon, MO 65536-3523

Mailing address

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127001118 MO Practitioner - Internal Medicine 4082893649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8045

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

State licenses

LicenseStateTypeSpecialty
164855NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Lake Regional Health System CurrentSince Nov 1, 2019 Accepting new patients
Lake Regional Health System Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1870 Bagnell Dam Blvd
Lake Ozark, MO 65049
Phone (573) 365-2318

441 W Elm St
Lebanon, MO 65536
Phone (417) 532-2805

755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805

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

Interoperability endpoints

  • Direct secure messaging: jeffreyfears@mhccaremail.com

Organizations & group practices 4

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 10

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1598738536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8399",
            "fax_number": "573-348-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W ELM ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363523",
            "telephone_number": "417-532-2805",
            "fax_number": "417-532-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019035085",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.