NPIMap

Individual provider Active NPI

Charles Thomas Fielder, M.D.

  • Diagnostic Radiology Physician
  • Lamar, MO
National Provider Identifier
1740200369
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R5G49 Issued in MO
Practice address
29 NW 1St Lane
Lamar, MO 64759-8105
Phone
(417) 681-5100
Fax
(417) 681-5510
NPI assigned
Jul 19, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R5G49 MO Primary

Addresses

Primary practice location

29 NW 1St Lane
Lamar, MO 64759-8105

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

75 Smithson Dr Ste A
Cassville, MO 65625-9429
Phone (000) 000-0000

Other identifiers 2

IdentifierTypeStateIssuer
202389946MedicaidMO
100096060AMedicaidOK

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
I20070619000156 MO Practitioner - Diagnostic Radiology 3173577590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cox Barton County HospitalGroup PAC ID 8820329782, shared by 5 NPIs, 30 clinicians

Practice addresses (Care Compare)

29 NW 1St LN
Lamar, MO 64759-8105
Phone (417) 681-5100

525 Branson Landing Blvd
Branson, MO 65616-2052

525 Branson Landing Blvd
Suite 508
Branson, MO 65616-2131
Phone (417) 335-7540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
96.63
Promoting interoperability
100
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13758OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital Diagnostic Radiology CurrentSince Dec 21, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Apr 1, 2026 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Skaggs Community Hospital Association Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Cox-Monett Hospital Inc CurrentSince Aug 15, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

Organizations & group practices 8

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 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1740200369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LANE",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5100",
            "fax_number": "417-681-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Smithson Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656259429",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R5G49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202389946",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

Verify at the official NPI Registry.