Individual provider Active NPI

Larry K Chase, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Springfield, MO
National Provider Identifier
1891790408
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
R2D20 Issued in MO
Practice address
3525 S National Ave
Ste 101
Springfield, MO 65807-7310
Phone
(417) 269-9950
Fax
(417) 269-9959
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R2D20 MO
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X R2D20 MO Primary

Addresses

Primary practice location

3525 S National Ave
Ste 101
Springfield, MO 65807-7310

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other identifiers 1

IdentifierTypeStateIssuer
201827912MedicaidMO

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
I20070205000518 MO Practitioner - Preventive MedicinePractitioner - Internal Medicine 0446252480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

3525 S National Ave St
Springfield, MO 65807-7315

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2D20MOMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E. Cox Medical Centers Current Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 7, 2014 Accepting new patients
Lester E Cox Medical Centers Internal Medicine Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 1, 2007 Accepting new patients
Skaggs Community Hospital Association Current Accepting new patients
Lester E. Cox Medical Centers Internal Medicine CurrentSince Apr 1, 2007 Accepting new patients
Skaggs Community Hospital Association Internal Medicine CurrentSince Jun 7, 2014 Accepting new patients
Lester E Cox Medical Centers Internal Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

3800 S National Ave
Ste 540
Springfield, MO 65807
Phone (417) 269-6262

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

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450

3801 S National Ave
Ste 1122
Springfield, MO 65807

1443 N Robberson Ave
Fl 6
Springfield, MO 65802
Phone (417) 269-4450

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1891790408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S NATIONAL AVE",
            "address_2": "STE 101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-269-9950",
            "fax_number": "417-269-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LARRY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R2D20",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "R2D20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201827912",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.