Active NPI 1366518789 Individual Practitioner Female Practitioner

Clara Nancy Applegate

Specialist • West Plains, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clara Applegate is a certified Specialist practicing in West Plains, MO. With approximately 44 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1982, Clara Applegate delivers high-quality medical care to the local community at 1100 N KENTUCKY AVE.

Clara Applegate is affiliated with Ozarks Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, exam of neurobehavioral status, first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 N Kentucky Ave

West Plains, MO 657752029

Telephone 4172576777

Associated Practice Facility / Clinic

🏢 Visionary Imaging Llc Facility NPI 1700881851

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in West Plains, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +4.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

3 Specialists

Practicing in West Plains, MO (503 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Applegate (44 Years) 44 Yrs

West Plains Specialty Average (40.0 Years) 40.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	209	$179.65	$91.08
99213 Established patient office or other outpatient visit, typically 15 minutes	171	141	$125.94	$61.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$286.72	$125.15
96116 Exam of neurobehavioral status, first hour	71	60	$116.00	$75.94
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	53	19	$273.00	$115.36
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box	32	13	$254.59	$105.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$237.00	$135.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$99.00	$33.13
95910 Nerve conduction, 7-8 studies	24	24	$214.00	$96.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$353.00	$160.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	236	$179.56	$91.74
99213 Established patient office or other outpatient visit, typically 15 minutes	154	139	$125.00	$62.19
96116 Exam of neurobehavioral status, first hour	75	68	$116.00	$76.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$283.00	$125.41
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box	26	12	$269.27	$118.39
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	26	18	$273.00	$114.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$190.71	$87.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$237.00	$134.58
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$135.73	$59.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	297	$171.38	$93.18
99213 Established patient office or other outpatient visit, typically 15 minutes	107	100	$130.71	$63.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$271.75	$128.40
96116 Exam of neurobehavioral status, first hour	97	85	$123.84	$79.08
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	84	35	$255.40	$114.08
95816 Measurement of brain wave activity (eeg), awake and drowsy	37	36	$150.09	$53.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$232.91	$137.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$335.72	$174.29
95910 Nerve conduction, 7-8 studies	22	22	$200.32	$100.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$165.68	$96.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	279	$153.75	$95.28
99213 Established patient office or other outpatient visit, typically 15 minutes	144	114	$143.50	$64.60
96116 Exam of neurobehavioral status, first hour	118	102	$154.00	$80.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$246.00	$129.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$313.50	$176.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	54	$218.36	$140.33
95816 Measurement of brain wave activity (eeg), awake and drowsy	43	41	$124.75	$54.89
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	36	21	$218.25	$114.50
95908 Nerve conduction, 3-4 studies	15	15	$110.00	$64.09
99291 Critical care, first 30-74 minutes	12	12	$529.63	$211.08
95910 Nerve conduction, 7-8 studies	12	12	$171.00	$102.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	221	$143.50	$50.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	171	$153.75	$76.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$246.00	$127.00
96116 Exam of neurobehavioral status, first hour	94	82	$154.00	$82.49
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	80	45	$218.25	$120.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$318.67	$166.25
95816 Measurement of brain wave activity (eeg), awake and drowsy	44	43	$124.75	$56.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$120.33	$25.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	37	$221.14	$107.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$173.75	$74.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	261	$149.25	$76.69
99213 Established patient office or other outpatient visit, typically 15 minutes	342	242	$139.22	$49.62
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	175	62	$212.00	$122.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	118	$210.50	$108.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	135	135	$304.25	$164.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	64	$127.75	$24.86
96116 Exam of neurobehavioral status, first hour	77	70	$149.50	$84.32
95816 Measurement of brain wave activity (eeg), awake and drowsy	74	71	$121.00	$56.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	18	$60.00	$8.99
99291 Critical care, first 30-74 minutes	19	19	$509.00	$218.62
95910 Nerve conduction, 7-8 studies	14	14	$166.00	$105.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	258	$145.48	$75.47
99213 Established patient office or other outpatient visit, typically 15 minutes	305	217	$135.25	$49.31
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	173	66	$206.80	$119.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	152	120	$204.25	$107.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	140	140	$295.50	$162.03
96116 Exam of neurobehavioral status, first hour	104	84	$145.25	$83.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	65	$124.05	$24.30
95816 Measurement of brain wave activity (eeg), awake and drowsy	52	52	$117.50	$56.01
99291 Critical care, first 30-74 minutes	24	22	$494.25	$216.30
95910 Nerve conduction, 7-8 studies	22	22	$161.25	$104.25
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box	21	11	$181.50	$104.87
64642 Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity	19	11	$137.25	$97.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	18	$58.25	$8.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$231.75	$124.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	262	$140.75	$74.93
99213 Established patient office or other outpatient visit, typically 15 minutes	283	197	$130.88	$48.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	234	170	$198.25	$105.58
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	174	59	$199.75	$119.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	116	116	$287.00	$160.75
96116 Exam of neurobehavioral status, first hour	86	68	$141.00	$83.60
95816 Measurement of brain wave activity (eeg), awake and drowsy	60	56	$114.00	$54.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	38	$120.50	$24.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$144.25	$99.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$225.00	$125.03
99291 Critical care, first 30-74 minutes	21	21	$479.75	$215.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	14	$56.50	$8.84
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	11	$17.00	$11.83
95908 Nerve conduction, 3-4 studies	11	11	$100.75	$64.74

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO R5F76

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

120747001 (AR)

Medicaid State Provider ID

202286233 (MO)

Hospital & Practice Group Affiliations

Ozarks Medical Center

1100 N Kentucky Ave, West Plains, MO 657752029

Phone: 41725691116036

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lori Hall

Physical Therapy Assistant

NPI 1003957002

Dr. Robert Milton , MD

Psychiatry & Neurology - Psychiatry

NPI 1003960931

Doctor of Medicine (M.D.)

Rabi Sahoo

Occupational Therapist

NPI 1013058023

Kriston Bottrell , RPH

Pharmacist

NPI 1013136670

Registered Pharmacist

Dr. William Mcgee , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1023087764

Doctor of Medicine (M.D.)

Dr. Troy Caron , DO

Orthopaedic Surgery

NPI 1033182050

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2017

Registered at 1100 N KENTUCKY AVE, WEST PLAINS, MO 657752029 (Tel: 4172576777)

📍

Updated Business Mailing Address January 27, 2017

Registered at PO BOX 1100, WEST PLAINS, MO 657751100

👤

Provider Name / Credentials Updated January 27, 2017

Recorded as CLARA APPLEGATE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Specialist (License #R5F76 in MO)

✅

NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2014

Registered at 1100 N KENTUCKY AVE, WEST PLAINS, MO 657752029 (Tel: 4172576777)

📍

Updated Business Mailing Address May 05, 2014

Registered at PO BOX 1100, WEST PLAINS, MO 657751100

👤

Provider Name / Credentials Updated May 05, 2014

Recorded as CLARA APPLEGATE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Specialist (License #R5F76 in MO)

🟢

Initial NPI Registration & Enumeration November 28, 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: 1366518789

Entity Type:

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

Enumeration Date: November 28, 2006

Last Update: January 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1100

West Plains, MO 657751100

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

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