NPIMap

Individual provider Active NPI

Gregory A Tobin, M.D.

  • Plastic Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1821097239
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
R6H31 Issued in MO
Practice address
300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920
Phone
(573) 651-4488
Fax
(573) 651-4431
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X R6H31 MO Primary

Addresses

Primary practice location

300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920

Mailing address

300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920
Phone (573) 651-4488

Other identifiers 2

IdentifierTypeStateIssuer
202602801MedicaidMO
25570OtherMOBCBS OF MO

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
I20091120000525 MO Practitioner - Plastic and Reconstructive Surgery 3971410630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Plastic and Hand Surgery PCGroup PAC ID 3678477437, 2 clinicians

Practice addresses (Care Compare)

300 S Mount Auburn Rd
Suite 100
Cape Girardeau, MO 63703-4902
Phone (573) 651-4488

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision35
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue1-10
Skin biopsy22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Plastic & Hand Surgery PC CurrentSince Aug 1, 1995 Accepting new patients
ASC Anesthesia LLC CurrentSince Feb 19, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Auburn Surgery Center Inc. Past Accepting new patients
Medstop One Inc PastSince Feb 1, 1998 Accepting new patients
Auburn Surgery Center Inc PastSince Sep 1, 2001 Accepting new patients

Locations

300 S Mount Auburn Rd
Ste 200
Cpe Girardeau, MO 63703
Phone (573) 332-7881

300 S Mount Auburn Rd
Ste 100
Cpe Girardeau, MO 63703
Phone (573) 651-3456

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 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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1821097239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MOUNT AUBURN RD",
            "address_2": "STE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-651-4488",
            "fax_number": "573-651-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MOUNT AUBURN RD",
            "address_2": "STE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-651-4488",
            "fax_number": "573-651-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R6H31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202602801",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "25570",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.