BIG SPRINGS MEDICAL ASSOCIATION — NPI 1265395537 (Licensed & Credentialed Laboratories — Physiological Laboratory in POPLAR BLUFF, MO)

CMS-1500 Box 24J / 33a • NPI

1265395537

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

293D00000X (CMS 47)

Licensed & Credentialed Laboratories — Physiological Laboratory

Box 32 Service Location & ZIP+4

225 PHYSICIANS PARK STE 104, POPLAR BLUFF, MO, 63901-3918

✓ 9-Digit EDI 837 ZIP+4 (63901-3918)

Practice Phone & Referral Fax

(573) 413-4065

Fax: (573) 354-5013

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265395537 (BIG SPRINGS MEDICAL ASSOCIATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265395537` (NPI-2 Organization / Facility)
Provider / Legal Name	BIG SPRINGS MEDICAL ASSOCIATION
Plain-English Specialty	Licensed & Credentialed Laboratories — Physiological Laboratory NUCC Code: `293D00000X` (Physiological Laboratory)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	225 PHYSICIANS PARK STE 104, POPLAR BLUFF, MO, 63901-3918
Practice Telephone / Fax	Tel: (573) 413-4065 \| Fax: (573) 354-5013
Administrative Mailing Address	110 S 2ND ST, ELLINGTON, MO, 63638-9400
Enumeration & Last Sync	Enumerated: 2025-12-04 \| CMS Record Updated: 2026-11-05
Authorized Official	KAREN WHITE (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

225 PHYSICIANS PARK STE 104, POPLAR BLUFF, MO, 63901-3918

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Plain-English Taxonomy & CMS Crosswalk (293D00000X)

What Does Taxonomy Code 293D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 293D00000X translates to:
"Licensed & Credentialed Laboratories — Physiological Laboratory"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 47 (Independent Diagnostic Testing Facility (IDTF))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physiological Laboratory for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BIG SPRINGS MEDICAL ASSOCIATION)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`293D00000X` — Physiological Laboratory Plain English: Licensed & Credentialed Laboratories — Physiological Laboratory	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BIG SPRINGS MEDICAL ASSOCIATION (NPI #1265395537)