Gregory William Hubbard, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Carrollton, MO
NPI 1932105673 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1932105673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 119275 (MO)
- Practice address
- 1502 N Jefferson St
Carrollton, MO 64633-1948 - Phone
- (660) 542-1695
- Fax
- (660) 542-1944
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carroll County Memorial Hospital
Practice addresses (Care Compare)
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Hospital & facility affiliations
- Carroll County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.76 of 100
- Quality
- 46.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 53.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
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 |
|---|---|---|---|---|
| I20110803000832 | MO | Practitioner - Orthopedic Surgery | 8224062856 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119275 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Medical Group | Current |
Accepting new patients | |
| Jefferson Medical Group | Current |
Accepting new patients |
Locations
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
Interoperability endpoints
- ccmhhimdept@ccmhospital.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 119275 | MO | Yes |
Addresses
Primary practice location
1502 N Jefferson St
Carrollton, MO 64633-1948
Mailing address
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244647806 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CCMHHIMDept@ccmhospital.cernerdirect.com | Carroll County Memorial Hospital |
Other providers in Carrollton, MO
- HCC Network
- HCC of Carroll County LLC
- Amber Renee Hendrix
- Andrew Douglas Horine
- Tiffany M Horst
- Angela Imgarten
- James L Samples DDS ,PC
- Jefferson Medical Group
- Jefferson Medical Group
- Donald Leroy Kampschmidt
All providers in Carrollton, MO · 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 Dec 5, 2024. 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.