Donet Christopher Main, DO
Individual provider Active NPI Adult Reconstructive Orthopaedic Surgery Physician · Macon, MO
NPI 1861409625 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1861409625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License
- 110583 (MO)
- Practice address
- 1706 Prospect Dr
Macon, MO 63552-2615 - Phone
- (660) 385-1006
- Fax
- (660) 385-1028
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Orthopedic Surgical Services LLC
Restore Muscle and Joint LLC
Practice addresses (Care Compare)
1706 Prospect Dr
Macon, MO 63552-2615
Phone (660) 385-1006
4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone (816) 452-4488
Hospital & facility affiliations
- Macon County Samaritan Memorial Hospital
- Moberly Regional Medical Center
- Pershing Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000505 | MO | Practitioner - Orthopedic Surgery | 9931105079 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Current |
Accepting new patients | |
| Midwest Bone & Joint Center PC | Adult Reconstructive Orthopaedic Surgery | Current |
Accepting new patients |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Restore Muscle and Joint, LLC | Current |
Accepting new patients | |
| Midwest Bone & Joint Center, PC | Adult Reconstructive Orthopaedic Surgery | Current |
Accepting new patients |
| Midwest Orthopedic Surgical Services LLC | Current |
Accepting new patients | |
| Tenet Healthsystem Di, Inc. | Past | Accepting new patients |
Locations
4119 NW Barry Rd
Ste 4
Kansas City, MO 64154
4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1706 Prospect Dr
Macon, MO 63552
Phone (660) 385-1006
1836 Lackland Hill Pkwy
Saint Louis, MO 63146
216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181
216 W Main St
Steele, MO 63877
Phone (573) 695-2181
1809 Heritage Hills Dr
Washington, MO 63090
Phone (636) 239-5252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 110583 | MO | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 110583 | MO | Yes |
Addresses
Primary practice location
1706 Prospect Dr
Macon, MO 63552-2615
Mailing address
PO Box 402
Macon, MO 63552-0402
Phone (660) 385-1008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200041474 | Other | MO | RR MEDICARE |
Other providers in Macon, MO
- Macon County Samaritan Hospital
- Macon County Samaritan Hospital
- Macon County Sheltered Workshop
- Macon Rehabilitation Services, LLC
- Mark Vincent Maddox
- Jessica March
- William Walter Marshall II
- Matthew Theriac, D.D.S. LLC
- Lisa Michelle Mayes
- Shaylyn McCollough
All providers in Macon, MO · Adult Reconstructive Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.