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Deactivated NPI 1922175371 Deactivated / Inactive NPI Male Practitioner

Dr. Nicholas F. Shoults , MD

Surgery • Springfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nicholas Shoults has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date February 06, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Shoults, MD was a registered Surgery practicing in Springfield, MO. Throughout an active medical career spanning 12 years, Dr. Shoults provided care at the practice location at 1965 S FREMONT AVE until profile deactivation on 2018-02-06.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, insertion of abdominal cavity catheter using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1965 S Fremont Ave
Suite 100

Springfield, MO 658042201

Telephone 4178203800
Fax 4178203810
Associated Practice Facility / Clinic
🏢 Mercy Hospital Springfield Facility NPI 1982644514

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
37 Specialists

Practicing in Springfield, MO (766 Statewide)

Telehealth Adoption Rate
10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.9% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
180 180 $165.37 $98.82
99213 Established patient office or other outpatient visit, typically 15 minutes
112 93 $107.05 $67.05
49324 Insertion of abdominal cavity catheter using an endoscope
49 48 $1520.00 $357.37
49436 Creation of abdominal cavity catheter exit site
34 34 $553.00 $179.55
49422 Removal of abdominal cavity catheter
33 30 $1320.00 $340.44
36589 Removal of central venous catheter for infusion
24 24 $509.00 $154.66
49653 Repair of trapped hernia using an endoscope
23 23 $3627.00 $901.41
47562 Removal of gallbladder using an endoscope
22 22 $2086.00 $638.54
49325 Revision of abdominal cavity catheter using an endoscope
22 18 $1629.00 $389.24
99221 Initial hospital inpatient care per day, typically 30 minutes
19 19 $191.00 $97.29
49505 Repair of groin hernia (5 years or older)
19 19 $1518.95 $461.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
16 16 $252.00 $128.83
36590 Removal of peripheral venous catheter for infusion
13 13 $837.00 $210.27

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 36517

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

24 Associated Practitioners
NPI 1043273188

Doctor of Medicine (M.D.)

NPI 1063438125

Doctor of Medicine (M.D.)

Christopher Chaffin , PA

Physician Assistant

NPI 1104129436

Physician Assistant

Ami Rohr , FNP

Nurse Practitioner - Pediatrics

NPI 1124434535

Family Nurse Practitioner

NPI 1134296569

Doctor of Medicine (M.D.)

Nycolle Sexton , PA-C

Physician Assistant

NPI 1174940456

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 06, 2018

Record deactivated on February 06, 2018

NPI Profile Active May 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2013

Registered at 1965 S FREMONT AVE, SUITE 100, SPRINGFIELD, MO 658042201 (Tel: 4178203800)

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Updated Business Mailing Address May 02, 2013

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

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Provider Name / Credentials Updated May 02, 2013

Recorded as NICHOLAS SHOULTS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2013

Surgery (License #36517 in MO)

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Initial NPI Registration & Enumeration November 29, 2006

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: 1922175371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: May 02, 2013
Deactivation Date: February 06, 2018

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.