Active NPI 1093722357 Individual Practitioner Male Practitioner

Dr. Steven E. Collum , MD

Pathology - Anatomic Pathology & Clinical Pathology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Collum, MD is a certified Pathology - Anatomic Pathology & Clinical Pathology practicing in Springfield, MO. With approximately 36 years of clinical experience since graduating from Washington University School Of Medicine in 1990, Dr. Collum delivers high-quality medical care to the local community at 1235 E CHEROKEE ST.

Dr. Collum is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, special stained specimen slides to examine tissue, initial procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1235 E Cherokee St

Springfield, MO 658042203

Telephone 4178202961

Fax 4178207790

Associated Practice Facility / Clinic

🏢 Mercy Clinic Hospitalists Facility NPI 1033181474

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.4 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 29.1 Yrs

Regional Practice Density

18 Specialists

Practicing in Springfield, MO (366 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Collum (36 Years) 36 Yrs

Springfield Specialty Average (22.6 Years) 22.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,234	710	$144.00	$33.80
88341 Special stained specimen slides to examine tissue	535	107	$54.00	$25.36
88342 Special stained specimen slides to examine tissue, initial procedure	249	208	$84.00	$31.61
88305 Pathology examination of tissue using a microscope, intermediate complexity	228	175	$144.00	$33.47
88307 Pathology examination of tissue using a microscope, moderately high complexity	165	120	$266.00	$73.92
88112 Cell examination of specimen, selective cellular enhancement technique	135	111	$104.00	$25.08
88304 Pathology examination of tissue using a microscope, moderately low complexity	99	94	$42.00	$10.17
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	78	25	$180.00	$39.80
88312 Special stained specimen slides to identify organisms including interpretation and report	65	32	$59.00	$23.72
88311 Preparation of tissue for examination by removing any calcium present	60	53	$27.00	$10.96
88112 Cell examination of specimen, selective cellular enhancement technique	52	52	$104.00	$25.11
84165 Protein measurement, serum	47	47	$45.00	$16.32
88300 Pathology examination of tissue using a microscope, limited examination	39	37	$17.00	$4.05
88360 Microscopic genetic analysis of tumor	38	23	$133.00	$37.70
88363 Examination of archival tissue for genetic analysis	32	29	$63.00	$17.49
88341 Special stained specimen slides to examine tissue	24	12	$54.00	$25.43
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	22	22	$447.00	$161.44
86334 Immunologic analysis technique on serum (immunofixation)	20	20	$45.00	$16.27
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	19	$42.00	$10.33
88309 Pathology examination of tissue using a microscope, high complexity	18	18	$382.00	$130.02
88331 Pathology examination of specimen during surgery, first tissue block	18	14	$233.00	$55.84
88302 Pathology examination of tissue using a microscope	15	15	$25.00	$6.27
88342 Special stained specimen slides to examine tissue, initial procedure	15	15	$84.00	$31.71
88363 Examination of archival tissue for genetic analysis	13	13	$72.00	$21.17
84166 Protein measurement, body fluid	11	11	$45.00	$16.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,245	688	$144.00	$34.94
88341 Special stained specimen slides to examine tissue	607	124	$54.00	$26.47
88305 Pathology examination of tissue using a microscope, intermediate complexity	382	285	$144.00	$34.76
88342 Special stained specimen slides to examine tissue, initial procedure	267	217	$84.00	$32.63
88307 Pathology examination of tissue using a microscope, moderately high complexity	192	139	$266.00	$77.29
88112 Cell examination of specimen, selective cellular enhancement technique	141	104	$106.78	$25.73
88304 Pathology examination of tissue using a microscope, moderately low complexity	107	93	$42.99	$10.61
84165 Protein measurement, serum	103	103	$45.00	$16.94
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	103	32	$180.00	$41.58
88311 Preparation of tissue for examination by removing any calcium present	91	84	$27.00	$11.66
88312 Special stained specimen slides to identify organisms including interpretation and report	59	29	$59.00	$25.04
88112 Cell examination of specimen, selective cellular enhancement technique	53	53	$107.43	$25.61
86334 Immunologic analysis technique on serum (immunofixation)	40	40	$45.00	$16.94
88313 Special stained specimen slides to examine tissue including interpretation and report	36	28	$29.00	$11.36
88304 Pathology examination of tissue using a microscope, moderately low complexity	33	31	$43.27	$10.69
88300 Pathology examination of tissue using a microscope, limited examination	32	30	$17.00	$4.19
86320 Immunologic analysis technique on serum	28	28	$69.29	$16.94
88364 Genetic sequencing localization, each additional procedure	27	18	$65.00	$32.21
88365 Genetic sequencing localization, initial procedure	27	18	$122.70	$40.65
84166 Protein measurement, body fluid	25	25	$45.00	$16.33
85097 Bone marrow, smear interpretation	24	24	$184.08	$45.63
88363 Examination of archival tissue for genetic analysis	23	23	$63.00	$18.40
88309 Pathology examination of tissue using a microscope, high complexity	22	21	$382.00	$135.83
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	21	21	$447.00	$167.62
88331 Pathology examination of specimen during surgery, first tissue block	21	17	$233.48	$58.17
88363 Examination of archival tissue for genetic analysis	19	18	$72.00	$21.60
88342 Special stained specimen slides to examine tissue, initial procedure	16	15	$84.00	$32.79
88302 Pathology examination of tissue using a microscope	15	14	$25.80	$6.46
86325 Immunologic analysis technique on body fluid	15	15	$46.00	$16.94
85060 Blood smear interpretation by physician with written report	12	12	$49.00	$22.89
88312 Special stained specimen slides to identify organisms including interpretation and report	11	11	$59.00	$22.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,171	656	$144.00	$35.67
88341 Special stained specimen slides to examine tissue	672	128	$54.00	$26.83
88305 Pathology examination of tissue using a microscope, intermediate complexity	369	286	$144.00	$35.74
88342 Special stained specimen slides to examine tissue, initial procedure	236	191	$82.58	$33.19
88307 Pathology examination of tissue using a microscope, moderately high complexity	171	114	$266.00	$76.27
88304 Pathology examination of tissue using a microscope, moderately low complexity	124	120	$44.00	$10.82
88112 Cell examination of specimen, selective cellular enhancement technique	107	76	$111.00	$26.57
88341 Special stained specimen slides to examine tissue	89	18	$54.00	$26.83
88311 Preparation of tissue for examination by removing any calcium present	88	79	$27.00	$11.69
84165 Protein measurement, serum	55	55	$45.00	$17.51
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	50	19	$180.00	$42.00
88112 Cell examination of specimen, selective cellular enhancement technique	40	40	$111.00	$26.60
88313 Special stained specimen slides to examine tissue including interpretation and report	40	31	$29.00	$11.59
88331 Pathology examination of specimen during surgery, first tissue block	35	18	$234.00	$54.48
88304 Pathology examination of tissue using a microscope, moderately low complexity	32	29	$44.00	$10.89
88342 Special stained specimen slides to examine tissue, initial procedure	32	26	$84.00	$33.22
86334 Immunologic analysis technique on serum (immunofixation)	31	31	$45.00	$17.50
88300 Pathology examination of tissue using a microscope, limited examination	28	28	$17.50	$4.25
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	28	28	$447.00	$169.92
88364 Genetic sequencing localization, each additional procedure	25	17	$65.00	$32.89
88365 Genetic sequencing localization, initial procedure	25	18	$117.00	$41.81
88309 Pathology examination of tissue using a microscope, high complexity	24	23	$382.00	$133.12
88312 Special stained specimen slides to identify organisms including interpretation and report	24	13	$59.00	$25.28
85097 Bone marrow, smear interpretation	24	24	$186.08	$46.18
88302 Pathology examination of tissue using a microscope	13	12	$27.00	$6.57
88312 Special stained specimen slides to identify organisms including interpretation and report	13	11	$59.00	$25.35
84166 Protein measurement, body fluid	12	12	$45.00	$17.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,033	572	$146.56	$36.27
88341 Special stained specimen slides to examine tissue	602	109	$53.37	$27.33
88342 Special stained specimen slides to examine tissue, initial procedure	228	184	$84.00	$34.05
88304 Pathology examination of tissue using a microscope, moderately low complexity	180	154	$44.54	$10.99
88307 Pathology examination of tissue using a microscope, moderately high complexity	161	111	$266.00	$79.79
88305 Pathology examination of tissue using a microscope, intermediate complexity	155	117	$146.58	$36.36
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	94	28	$180.00	$42.88
88112 Cell examination of specimen, selective cellular enhancement technique	86	63	$111.00	$27.01
88311 Preparation of tissue for examination by removing any calcium present	84	73	$27.00	$12.08
88313 Special stained specimen slides to examine tissue including interpretation and report	58	33	$29.00	$11.79
88312 Special stained specimen slides to identify organisms including interpretation and report	30	19	$59.00	$25.99
88300 Pathology examination of tissue using a microscope, limited examination	30	26	$18.00	$4.32
88331 Pathology examination of specimen during surgery, first tissue block	26	21	$234.00	$60.09
85097 Bone marrow, smear interpretation	25	25	$188.28	$47.32
88112 Cell examination of specimen, selective cellular enhancement technique	25	24	$111.00	$26.46
88304 Pathology examination of tissue using a microscope, moderately low complexity	24	17	$44.38	$11.07
88365 Genetic sequencing localization, initial procedure	22	17	$117.00	$42.52
88364 Genetic sequencing localization, each additional procedure	21	15	$65.00	$33.76
88302 Pathology examination of tissue using a microscope	19	18	$27.53	$6.69
88309 Pathology examination of tissue using a microscope, high complexity	15	15	$382.00	$141.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,090	631	$149.00	$37.82
88341 Special stained specimen slides to examine tissue	527	103	$53.90	$28.53
88342 Special stained specimen slides to examine tissue, initial procedure	213	180	$84.00	$35.40
88305 Pathology examination of tissue using a microscope, intermediate complexity	180	132	$149.00	$37.49
88304 Pathology examination of tissue using a microscope, moderately low complexity	165	147	$45.00	$11.34
88307 Pathology examination of tissue using a microscope, moderately high complexity	151	116	$266.00	$82.55
88311 Preparation of tissue for examination by removing any calcium present	119	108	$27.00	$12.49
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	98	32	$193.67	$45.21
88112 Cell examination of specimen, selective cellular enhancement technique	87	69	$111.00	$27.90
88331 Pathology examination of specimen during surgery, first tissue block	64	33	$234.00	$62.85
88300 Pathology examination of tissue using a microscope, limited examination	47	42	$18.00	$4.48
88313 Special stained specimen slides to examine tissue including interpretation and report	47	29	$29.00	$12.17
88312 Special stained specimen slides to identify organisms including interpretation and report	36	20	$59.00	$26.90
84165 Protein measurement, serum	36	36	$43.97	$18.54
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	27	27	$447.00	$179.42
88112 Cell examination of specimen, selective cellular enhancement technique	26	25	$111.00	$27.87
85097 Bone marrow, smear interpretation	22	22	$189.14	$49.31
88309 Pathology examination of tissue using a microscope, high complexity	22	21	$382.00	$146.68
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	19	$45.00	$11.46
88302 Pathology examination of tissue using a microscope	17	16	$28.00	$6.60
88342 Special stained specimen slides to examine tissue, initial procedure	14	12	$84.00	$35.42
84165 Protein measurement, serum	12	12	$44.25	$18.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,171	698	$149.00	$37.80
88341 Special stained specimen slides to examine tissue	466	88	$53.77	$28.13
88304 Pathology examination of tissue using a microscope, moderately low complexity	217	195	$45.00	$11.26
88307 Pathology examination of tissue using a microscope, moderately high complexity	197	137	$266.00	$82.52
88342 Special stained specimen slides to examine tissue, initial procedure	183	150	$84.00	$35.20
88305 Pathology examination of tissue using a microscope, intermediate complexity	156	116	$149.00	$37.76
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	138	45	$230.00	$45.48
88311 Preparation of tissue for examination by removing any calcium present	127	119	$27.00	$12.42
88112 Cell examination of specimen, selective cellular enhancement technique	86	73	$110.98	$27.96
88312 Special stained specimen slides to identify organisms including interpretation and report	84	74	$59.00	$26.40
84165 Protein measurement, serum	71	70	$51.72	$18.04
88313 Special stained specimen slides to examine tissue including interpretation and report	62	36	$29.00	$12.10
88331 Pathology examination of specimen during surgery, first tissue block	59	32	$234.00	$62.54
88341 Special stained specimen slides to examine tissue	55	12	$54.00	$28.59
88112 Cell examination of specimen, selective cellular enhancement technique	54	53	$111.00	$27.61
88332 Pathology examination of specimen during surgery, each additional tissue block	42	11	$78.00	$30.91
88300 Pathology examination of tissue using a microscope, limited examination	35	33	$18.00	$4.49
88309 Pathology examination of tissue using a microscope, high complexity	27	27	$382.00	$146.47
84165 Protein measurement, serum	27	25	$51.11	$18.03
85097 Bone marrow, smear interpretation	24	24	$189.00	$48.98
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	18	$45.00	$11.38
88365 Genetic sequencing localization, initial procedure	19	12	$118.16	$43.88
88364 Genetic sequencing localization, each additional procedure	18	11	$65.00	$34.92
88342 Special stained specimen slides to examine tissue, initial procedure	16	16	$84.00	$35.54
85060 Blood smear interpretation by physician with written report	16	16	$49.00	$24.06
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$447.00	$178.09
88302 Pathology examination of tissue using a microscope	14	12	$28.00	$6.90
86334 Immunologic analysis technique on serum (immunofixation)	13	13	$105.38	$18.04
84166 Protein measurement, body fluid	11	11	$45.00	$18.03
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	11	11	$232.00	$96.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,378	808	$149.00	$37.53
88341 Special stained specimen slides to examine tissue	588	115	$54.00	$27.84
88304 Pathology examination of tissue using a microscope, moderately low complexity	237	205	$45.00	$11.43
88305 Pathology examination of tissue using a microscope, intermediate complexity	237	191	$149.00	$37.46
88307 Pathology examination of tissue using a microscope, moderately high complexity	222	159	$266.00	$82.23
88342 Special stained specimen slides to examine tissue, initial procedure	209	170	$84.00	$35.15
88312 Special stained specimen slides to identify organisms including interpretation and report	193	167	$57.57	$26.41
88311 Preparation of tissue for examination by removing any calcium present	136	121	$26.49	$12.53
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	114	37	$230.00	$46.89
88112 Cell examination of specimen, selective cellular enhancement technique	114	95	$110.93	$27.83
88313 Special stained specimen slides to examine tissue including interpretation and report	67	32	$29.00	$11.60
88331 Pathology examination of specimen during surgery, first tissue block	66	41	$234.00	$60.80
88341 Special stained specimen slides to examine tissue	41	12	$54.00	$28.13
88300 Pathology examination of tissue using a microscope, limited examination	38	37	$18.00	$4.41
84165 Protein measurement, serum	38	36	$52.47	$17.76
88309 Pathology examination of tissue using a microscope, high complexity	32	30	$382.00	$142.84
88112 Cell examination of specimen, selective cellular enhancement technique	31	31	$111.00	$27.87
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	24	24	$447.00	$174.96
85097 Bone marrow, smear interpretation	23	22	$189.00	$48.51
88365 Genetic sequencing localization, initial procedure	22	16	$118.00	$42.14
88364 Genetic sequencing localization, each additional procedure	21	14	$65.00	$33.17
84165 Protein measurement, serum	20	20	$51.40	$17.75
88302 Pathology examination of tissue using a microscope	19	18	$28.00	$7.09
88342 Special stained specimen slides to examine tissue, initial procedure	18	17	$84.00	$35.29
88312 Special stained specimen slides to identify organisms including interpretation and report	17	14	$57.76	$26.51
85060 Blood smear interpretation by physician with written report	16	16	$49.00	$23.98
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	13	$45.00	$11.50
86334 Immunologic analysis technique on serum (immunofixation)	14	14	$91.43	$17.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,512	894	$149.00	$37.17
88341 Special stained specimen slides to examine tissue	656	126	$54.00	$27.82
88304 Pathology examination of tissue using a microscope, moderately low complexity	244	219	$45.00	$11.36
88305 Pathology examination of tissue using a microscope, intermediate complexity	233	182	$149.45	$37.36
88312 Special stained specimen slides to identify organisms including interpretation and report	207	181	$55.07	$26.34
88342 Special stained specimen slides to examine tissue, initial procedure	199	165	$85.45	$34.93
88307 Pathology examination of tissue using a microscope, moderately high complexity	183	140	$266.00	$81.21
88112 Cell examination of specimen, selective cellular enhancement technique	124	98	$111.00	$27.18
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	117	38	$230.00	$57.51
88311 Preparation of tissue for examination by removing any calcium present	112	100	$26.00	$12.37
88331 Pathology examination of specimen during surgery, first tissue block	83	54	$234.00	$61.80
88341 Special stained specimen slides to examine tissue	82	19	$54.00	$27.98
88112 Cell examination of specimen, selective cellular enhancement technique	64	64	$111.00	$27.39
88313 Special stained specimen slides to examine tissue including interpretation and report	58	33	$29.00	$10.56
88300 Pathology examination of tissue using a microscope, limited examination	50	44	$18.00	$4.38
88309 Pathology examination of tissue using a microscope, high complexity	41	40	$382.00	$145.42
84165 Protein measurement, serum	34	32	$53.65	$17.64
88342 Special stained specimen slides to examine tissue, initial procedure	32	27	$93.00	$35.08
88332 Pathology examination of specimen during surgery, each additional tissue block	31	16	$78.00	$30.55
84165 Protein measurement, serum	28	28	$55.00	$17.64
88302 Pathology examination of tissue using a microscope	27	25	$28.00	$6.87
85097 Bone marrow, smear interpretation	24	24	$185.25	$48.21
88365 Genetic sequencing localization, initial procedure	21	16	$117.00	$43.55
88364 Genetic sequencing localization, each additional procedure	21	16	$65.00	$34.47
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	20	20	$447.00	$175.59
88312 Special stained specimen slides to identify organisms including interpretation and report	19	15	$54.63	$26.71
86334 Immunologic analysis technique on serum (immunofixation)	19	19	$89.47	$17.66
88304 Pathology examination of tissue using a microscope, moderately low complexity	16	16	$45.00	$11.45
86334 Immunologic analysis technique on serum (immunofixation)	13	13	$85.00	$17.64
85060 Blood smear interpretation by physician with written report	13	13	$49.00	$23.83
84166 Protein measurement, body fluid	11	11	$45.00	$16.41

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License MO 108035

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

208105502 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

2115 S Fremont Ave, Springfield, MO 658042236

Phone: 4178203905

Mercy Clinic Springfield Communities

1235 E Cherokee St, Springfield, MO 658042203

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

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Jason Singh

Pathology - Anatomic Pathology & Clinical Pathology

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Erica Fermon

Pathology - Clinical Pathology

NPI 1174263891

Dr. Jason Denney , MD

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NPI 1407233604

Doctor of Medicine (M.D.)

Dr. Lori Wilson , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1588671861

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2008

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178202961)

📍

Updated Business Mailing Address October 20, 2008

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤

Provider Name / Credentials Updated October 20, 2008

Recorded as STEVEN COLLUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2008

Pathology (License #108035 in MO)

🟢

Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093722357

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 01, 2006

Last Update: October 20, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.