Active NPI
John B Dymond, M.D.
- Diagnostic Radiology Physician
- Osage Beach, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 106105
- Practice address
- 54 Hospital Dr
Osage Beach, MO 65065-3050 - Phone
- (573) 348-8000
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 106105 | MO | Primary |
Addresses
Primary practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Mailing address
5767 Cobblestone Dr
Osage Beach, MO 65065-2477
Phone (573) 480-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203906508 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060621000190 | MO | Practitioner - Diagnostic Radiology | 2769499300 | Reassigns benefits to 2 organizations |
| I20250916000005 | GA | Practitioner - Diagnostic Radiology | 2769499300 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Brody School of Medicine at East Carolina University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoebe Physician Group IncFred Smeltzer MD and Associates Inc
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8353
Hospital & facility affiliations
- Lake Regional Health System
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
- Phoebe Worth Medical Center
- University of Missouri Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.24 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Northside Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1930 N Business Route 5
Camdenton, MO 65020
Phone (573) 346-5624
156 Missouri Blvd
Ste B
Gravois Mills, MO 65037
Phone (573) 374-5263
441 W Elm St
Lebanon, MO 65536
Phone (417) 532-2805
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Osage Beach, MO
- NPI 1639122286
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
Diagnostic Radiology
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Joplin, MO
- NPI 1386745503
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
Hospital
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1720064512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 COBBLESTONE DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650652477",
"telephone_number": "573-480-4210"
},
{
"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": "573-348-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYMOND",
"first_name": "JOHN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "106105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203906508",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.