Dustin Bartlett, P.A.
Individual provider Active NPI Medical Physician Assistant · Springfield, MO
NPI 1972603777 · NPPES record last updated Dec 27, 2018
Key facts
- NPI
- 1972603777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2005003803 (MO)
- Practice address
- 3800 S National Ave
Springfield, MO 65807-5209 - Phone
- (417) 875-3800
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
1001 E Primrose
Springfield, MO 65807-5155
1001 E Primrose St
Springfield, MO 65807-5155
3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000
3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000
Hospital & facility affiliations
- Cox Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051004000086 | MO | Practitioner - Physician Assistant | 1254373970 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Past |
Accepting new patients | |
| Lester E Cox Medical Centers | Past |
Accepting new patients | |
| Lester E Cox Medical Centers | Past |
Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
3800 S National Ave
Springfield, MO 65807
Phone (417) 875-3700
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2005003803 | MO | Yes |
Addresses
Primary practice location
3800 S National Ave
Springfield, MO 65807-5209
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220024622 | Medicaid | MO | |
| 2005003803 | Other | MO | STATE LICENSE |
Other providers in Springfield, MO
- Renea Lee Barrett
- Jennifer M Bartels
- William Zachery Bartels
- Isabel Bartkowiak
- Amanda Janine Bartlett
- Anjonette Renae Barton
- Eileen Bartow-Rives
- Brian E. Basham
- Mandy Michelle Basham
- Stephanie L. Basham
All providers in Springfield, MO · Medical Physician Assistant 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 27, 2018. 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.