IndividualActive

John Gullage, PA-C

NPI 1558399923 · Surgical Physician Assistant · Lebanon, MO

Provider details

NPI number: 1558399923
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: PA10002052 (WA)

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense 2013029322 (MO)
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense PA10002052 (WA)
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense 1999 (NE)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
19 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
4 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
16 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	16	$70

Typical Medicare-allowed amounts for these services range $70–$70 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$15 across 1 record (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

331 Hospital Dr Ste a

Lebanon, MO 65536-9251

Phone: (417) 533-6560

Street-level locationGet directions

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Mailing address