Individual provider Active NPI

Samuel Crockett Maples, MD

  • Family Medicine Physician
  • Monett, MO
National Provider Identifier
1851920805
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023033573 Issued in MO
Practice address
1000 E Highway 60
Monett, MO 65708-8258
Phone
(417) 354-1580
Fax
(417) 354-1585
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 2023033573 MO Primary

Addresses

Primary practice location

1000 E Highway 60
Monett, MO 65708-8258

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

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
I20230825000869 MO Practitioner - Family Practice 9032520002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 354-1580

Hospital & facility affiliations

  • Cox Monett Hospital Hospital, Monett, MO, CCN 261329
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cox-Monett Hospital Inc Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Cox-Monett Hospital Inc Family Medicine Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine PastSince Apr 1, 2020 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

Interoperability endpoints

  • Direct secure messaging: samuel.maples@hca2.eclinicaldirectplus.com

Organizations & group practices 12

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 4

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1851920805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HIGHWAY 60",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657088258",
            "telephone_number": "417-354-1580",
            "fax_number": "417-354-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "SAMUEL",
        "middle_name": "CROCKETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023033573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.