Individual provider Active NPI

Luke Douglas Pyron, MD

  • Family Medicine Physician
  • Carthage, MO
National Provider Identifier
1720093396
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003016147 Issued in MO
Practice address
1615 Hazel Ave
Carthage, MO 64836-3020
Phone
(417) 359-8803
Fax
(417) 359-8454
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2003016147 MO Primary

Addresses

Primary practice location

1615 Hazel Ave
Carthage, MO 64836-3020

Mailing address

1615 Hazel Ave
Carthage, MO 64836-3020
Phone (417) 359-8803

Other identifiers 4

IdentifierTypeStateIssuer
100848210AMedicaidOK
200362620AMedicaidKS
243419306MedicaidMO
204642102MedicaidMO

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
I20090506000138 MO Practitioner - Family Practice 3173671898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524

1615 Hazel Ave
Carthage, MO 64836-3020
Phone (417) 359-8803

94 Main St
Cassville, MO 65625-1610
Phone (417) 782-7722

Hospital & facility affiliations

  • Integrity Home Care + Hospice Home health agency, Springfield, MO, CCN 267576
  • Amedisys Home Health of Missouri Home health agency, Joplin, MO, CCN 267606
  • Phoenix Home Care and Hospice Home health agency, Springfield, MO, CCN 267629
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Aurora Hospital, Aurora, MO, CCN 261316
  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Washington Regional Medical System Past Accepting new patients
QHG of Springdale Inc Past Accepting new patients

Locations

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1615 Hazel Ave
Carthage, MO 64836
Phone (417) 358-0188

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

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

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

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

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

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

Interoperability endpoints

  • Direct secure messaging: lpyron64132@directb.mercy.net
  • Direct secure messaging: lpyron74172@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1720093396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HAZEL AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363020",
            "telephone_number": "417-359-8803",
            "fax_number": "417-359-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HAZEL AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363020",
            "telephone_number": "417-359-8803",
            "fax_number": "417-359-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRON",
        "first_name": "LUKE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2003016147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848210A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362620A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243419306",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204642102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.