MR. JOHN DOCK (MSCCCA-A) – Audiologist, NPI 1457436735

MR. JOHN DOCK (MSCCCA-A) is a healthcare provider. based in Springfield, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials MSCCCA-A. They hold a License No. 001241 (MO). The NPI Number for MR. JOHN DOCK (MSCCCA-A) is 1457436735

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN DOCK (MSCCCA-A)
NPI
1457436735
Phone
(417) 875-3600
Address
1001 E PRIMROSE ST
Enumeration Date
26 October 2006
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178753000
Graduation Year
1996 (30 years ago)
PAC ID
8224191341
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20090115000022
Address ID
MO658077506SP960XXLAWN401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

Provider Addresses for MR. JOHN DOCK (MSCCCA-A)

  • 1001 E PRIMROSE ST

    SPRINGFIELD, MO 658075155

    Phone: (417) 875-3600

    Fax: (417) 875-3625

    Type: Location

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3000

    Type: Mailing

  • 960, East Walnut Lawn Street, Springfield, Greene County, Missouri, 65807, United States

    FERRELL DUNCAN CLINIC ENT

    SPRINGFIELD, MO 658077506

    Phone: (417) 875-3600

    Fax: (417) 875-3625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090115000022IQualified AudiologistMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function152147$0
92557Comprehensive hearing and speech recognition test147143$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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Provider's Procedures

MR. JOHN DOCK (MSCCCA-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMO92567Eardrum testing using ear probe172167

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628092897View full group profile

Reviews

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Frequently asked questions

Can I verify MR. JOHN DOCK (MSCCCA-A) with an NPI only?
You can start verification with NPI 1457436735 for MR. JOHN DOCK (MSCCCA-A), then check state licensing separately.
Does CMS list MR. JOHN DOCK (MSCCCA-A) as active?
Yes — MR. JOHN DOCK (MSCCCA-A) is active in the NPI listing used on this page.
What is MR. JOHN DOCK (MSCCCA-A) best known for clinically?
Directory data describes MR. JOHN DOCK (MSCCCA-A) with Audiologist. Clinical services aligned with this taxonomy classification.
Where is MR. JOHN DOCK (MSCCCA-A) based?
MR. JOHN DOCK (MSCCCA-A) is tied to Springfield, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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