Mary Yvonne Rayborn, MD
Individual provider Active NPI Family Medicine Physician · Sioux Center, IA
NPI 1992865828 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1992865828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36126 (IA)
- Practice address
- 1101 9TH St SE
Sioux Center, IA 51250-2501 - Phone
- (712) 722-2609
- Fax
- (712) 722-8394
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oral Roberts University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lester E Cox Medical Centers
Cherry Health Center, LLC
Practice addresses (Care Compare)
510 Hwy 32
Suite C
Lebanon, MO 65536-5303
Phone (417) 269-2278
607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000
Hospital & facility affiliations
- Coxhealth at Home
- Cox Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 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 |
|---|---|---|---|---|
| I20220421001625 | MO | Practitioner - Family Practice | 8820028723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36126 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Family Medicine | Current | Accepting new patients |
| Lester E Cox Medical Centers | Family Medicine | Current |
Accepting new patients |
| Lester E Cox Medical Centers | Family Medicine | Current |
Accepting new patients |
| Lester E. Cox Medical Centers | Past | Accepting new patients |
Locations
3203 E Old Stone Ave
Brookline, MO 65619
Phone (417) 269-1910
510 Highway 32
Ste C
Lebanon, MO 65536
Phone (417) 269-2278
3801 S National Ave
Ste 1122
Springfield, MO 65807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36126 | IA | Yes |
Addresses
Primary practice location
1101 9TH St SE
Sioux Center, IA 51250-2501
Mailing address
1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-2609
Other practice location 1
645 S Main Ave
Sioux Center, IA 51250-1347
Phone (712) 722-2609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0466151 | Medicaid | IA |
Other providers in Sioux Center, IA
- Jennifer L Plathe
- Prairie Life Chiropractic P.C.
- Proactive Physical Therapy & Sports Rehab, Inc
- Tho Profera
- Stephanie Anne Raih
- Renew Counseling LLC
- Restore Therapy & Counseling, PLC
- Amanda Rickard
- Dorothy Elaine Roskam
- Sanford Health Network
All providers in Sioux Center, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 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.