Individual provider Active NPI

Michael Lee Mumert, M.D.

  • Neurological Surgery Physician
  • Springfield, MO
National Provider Identifier
1871747469
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2014014734 Issued in MO
Practice address
3801 S National Ave
West Tower, Suite 700
Springfield, MO 65807-5210
Phone
(417) 885-3888
Fax
(417) 881-7638
NPI assigned
Nov 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E-10655 AR
Neurological Surgery Physician 207T00000X 71485131205 UT
Neurological Surgery Physician 207T00000X 2014014734 MO Primary

Addresses

Primary practice location

3801 S National Ave
West Tower, Suite 700
Springfield, MO 65807-5210

Mailing address

PO Box 9434
Springfield, MO 65801-9434
Phone (417) 885-3888

Other identifiers 1

IdentifierTypeStateIssuer
1805063OtherTHE AMERICAN BOARD OF NEUROLOGICAL SURGERY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20140715002272 MO Practitioner - Neurosurgery 2860635919 Reassigns benefits to 3 organizations
I20171109002366 AR Practitioner - Neurosurgery 2860635919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians

Practice addresses (Care Compare)

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

3801 S National Ave
Suite 700
Springfield, MO 65807-5210
Phone (417) 885-3888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.21 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
65.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion135
Laminectomy or laminotomy (partial removal of spine bones)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014014734MOMDNeurological Surgery Physician
71485131205UTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Neurological and Spine Institute Neurological Surgery CurrentSince Aug 1, 2014 Accepting new patients
Springfield Neurological and Spine Institute Neurological Surgery CurrentSince Sep 11, 2017 Accepting new patients
Springfield Neurological Institute, L.L.C. Neurological Surgery CurrentSince Jan 3, 2018 Accepting new patients
Springfield Neurological and Spine Institute Neurological Surgery CurrentSince Aug 1, 2014 Accepting new patients
Springfield Neurological Institute, L.L.C. Neurological Surgery CurrentSince Jan 3, 2018 Accepting new patients
Neurological and Spine Institute of the Ozarks LLC Neurological Surgery CurrentSince Oct 27, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

607 N Town
Mountain Home, AR 72653
Phone (870) 424-7033

121 Cahill Rd
Ste 205
Branson, MO 65616
Phone (417) 348-8253

1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207

3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

2900 S National Ave
Springfield, MO 65804
Phone (417) 269-1499

Interoperability endpoints

  • Direct secure messaging: michael.mumert@cernerdirect.coxhealth.com

Organizations & group practices 9

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 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": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1871747469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9434",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658019434",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "address_2": "WEST TOWER, SUITE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMERT",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-09",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-10655",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "71485131205",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2014014734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN BOARD OF NEUROLOGICAL SURGERY",
            "identifier": "1805063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.