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Active NPI 1558057679 Individual Practitioner Male Practitioner

Marc Havlicek , PA-C

Physician Assistant • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Marc Havlicek, PA-C is a registered healthcare professional specializing in Physician Assistant in Springfield, MO. Practice services are available at 3801 S NATIONAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3801 S National Ave

Springfield, MO 658075210

Telephone 4172696583
Fax 4172696573
Associated Practice Facility / Clinic
🏢 Lester E Cox Medical Centers Facility NPI 1952355646

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
235 Specialists

Practicing in Springfield, MO (1802 Statewide)

Telehealth Adoption Rate
11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99282 Emergency department visit with straightforward medical decision making
19 19 $152.88 $33.54

Medical Specialties & State Licenses

CMS Verified: 2026-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 20230212235

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

525 Branson Landing Blvd

Branson, MO 656162052

Phone: 4178752627

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Gregory Kutter , MD

Emergency Medicine

NPI 1003929621

Doctor of Medicine (M.D.)

Dr. Douglas Ham , DO

Emergency Medicine

NPI 1013018555

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeremy O'shea , DO

Emergency Medicine

NPI 1043499437

Doctor of Osteopathic Medicine (D.O.)

Dr. Marvin Hanner , MD

Emergency Medicine

NPI 1083105449

Doctor of Medicine (M.D.)

Dr. Camala Porter , MD

Emergency Medicine

NPI 1144204611

Doctor of Medicine (M.D.)

Dr. William Steinmetz , MD

Emergency Medicine

NPI 1144207986

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 May 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2023

Registered at 3801 S NATIONAL AVE, SPRINGFIELD, MO 658075210 (Tel: 4172696583)

📍
Updated Business Mailing Address May 03, 2023

Registered at PO BOX 802843, KANSAS CITY, MO 641802843 (Tel: 4177306430)

👤
Provider Name / Credentials Updated May 03, 2023

Recorded as MARC HAVLICEK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2023

Physician Assistant (License #20230212235 in MO)

🟢
Initial NPI Registration & Enumeration April 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558057679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2023
Last Update: April 30, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 802843

Kansas City, MO 641802843

Phone: 4177306430

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.