Individual provider Active NPI

John Loren Starwalt, DO

  • Emergency Medicine Physician
  • Dexter, MO
National Provider Identifier
1780146662
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2022032569 Issued in MO
Practice address
1200 N One Mile Rd
Dexter, MO 63841-1000
Phone
(573) 624-5566
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T2504 TX
Emergency Medicine Physician 207P00000X 2022032569 MO Primary

Addresses

Primary practice location

1200 N One Mile Rd
Dexter, MO 63841-1000

Mailing address

1200 N One Mile Rd
Dexter, MO 63841-1015
Phone (573) 624-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913000377 MO Practitioner - Emergency Medicine 6103201165 Reassigns benefits to 2 organizations
I20240909004142 TX Practitioner - Emergency Medicine 6103201165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

12500 S Fwy
Suite 100
Burleson, TX 76028-7128
Phone (214) 294-6250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.1 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2504TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 22, 2026 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Apr 16, 2023 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Aug 15, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 2, 2024 Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3095 Kingswood Blvd
Ste 100
Grand Prairie, TX 75052
Phone (972) 854-0009

620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

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.

Hospital & facility affiliations 5

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1780146662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411015",
            "telephone_number": "573-624-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411000",
            "telephone_number": "573-624-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARWALT",
        "first_name": "JOHN",
        "middle_name": "LOREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T2504",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022032569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

Verify at the official NPI Registry.