Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Robert A Lien , NP

Nurse Practitioner โ€ข Springfield, MO

Active NPI 1821578956 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1001 E Primrose St
Springfield, MO 65807

Call 4178753000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 E Primrose St

Springfield, MO 65807

Telephone 4178753000
Organization at the Same NPPES Address or Phone
Ferrell Duncan Clinic, Inc Facility NPI 1326099383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lester E Cox Medical Centers. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

286 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $54,551 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $41,974 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

10,391 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$307,281 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $547.42 across 32 records.

By nature of payment

  • Food and Beverage: $547.42 across 32 records.

Reporting-company totals (3 largest of 7)

  • Eli Lilly and Company: $144.01 across 10 records.
  • AstraZeneca Pharmaceuticals LP: $137.89 across 8 records.
  • Novo Nordisk Inc: $115.85 across 7 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Robert Lien has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Robert Lien as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: 285. Middle half: 107 to 609.

More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: $17,084. Middle half: $6,320 to $36,642.

A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: $12,256. Middle half: $4,988 to $28,096.

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 84 clinicians with data). Median for this group: 333. Middle half: 141 to 1,414.

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 84 clinicians with data). Median for this group: $13,845. Middle half: $1,861 to $127,856.

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.

139 active clinicians are listed under Nurse Practitioner with a practice address in Springfield, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

14.4% of these 139 clinicians have the CMS telehealth indicator.

66.2% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 32 records totaling $547.42.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $31.64
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $25.23
Inspire Medical Systems, Inc.
Food and Beverage
In-kind items and services
INSPIRE General $24.14
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
โ€” General $23.09
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
FABRAZYME General $21.33
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
FABRAZYME General $20.97
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $20.58
Eli Lilly and Company
Food and Beverage
In-kind items and services
KISUNLA General $18.82
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $18.75
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $18.64
Eli Lilly and Company
Food and Beverage
In-kind items and services
KISUNLA General $17.74
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $17.66
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $17.22
Eli Lilly and Company
Food and Beverage
In-kind items and services
KISUNLA General $16.50
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $16.35
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $16.29
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $16.29
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $16.19
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.17
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $14.68
Pfizer Inc.
Food and Beverage
In-kind items and services
NURTEC ODT General $14.33
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $14.27
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $14.25
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $13.97
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $13.96

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
641 14 $0.51 $0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
244 217 $300.13 $100.55
36415 Insertion of needle into vein for collection of blood sample
131 115 $14.40 $8.65
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
130 96 $198.97 $70.98
80053 Blood test, comprehensive group of blood chemicals
96 92 $52.45 $10.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
95 95 $270.00 $101.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
85 81 $38.52 $7.61
80061 Blood test, lipids (cholesterol and triglycerides)
65 63 $66.87 $13.12
83036 Hemoglobin a1c level
53 51 $48.71 $9.52
81001 Manual urinalysis test with examination using microscope, automated
51 48 $15.84 $3.11
84443 Blood test, thyroid stimulating hormone (tsh)
50 50 $83.87 $16.46
G0103 Prostate cancer screening; prostate specific antigen test (psa)
25 25 $91.80 $18.92
90653 Influenza vaccine, inactivated
24 24 $56.42 $55.29
G0008 Administration of influenza virus vaccine
24 24 $41.06 $29.84
82570 Creatinine level to test for kidney function or muscle injury
21 21 $25.94 $5.08
82043 Urine microalbumin (protein) level
20 20 $28.87 $5.66
82607 Cyanocobalamin (vitamin b-12) level
18 17 $75.40 $14.78
82306 Vitamin d-3 level
17 17 $147.77 $29.01
71046 X-ray of chest, 2 views
16 16 $65.43 $19.75
80048 Blood test, basic group of blood chemicals (calcium, total)
16 14 $42.34 $8.29
20610 Aspiration and/or injection of fluid from large joint
14 13 $247.85 $54.15
85652 Red blood cell sedimentation rate, to detect inflammation, automated
14 12 $13.49 $2.65
86140 Measurement c-reactive protein for detection of infection or inflammation
14 12 $25.86 $5.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $118.11 $41.37
83880 Natriuretic peptide (heart and blood vessel protein) level
11 11 $148.80 $38.47

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 320 24,571 $2,097.26 85
Lisinopril Lisinopril 228 17,960 $869.53 65
Amlodipine Besylate Amlodipine Besylate 188 13,862 $712.15 49
Trazodone Hcl Trazodone Hcl 184 9,997 $1,228.18 40
Levothyroxine Sodium Levothyroxine Sodium 162 11,767 $1,345.63 41
Losartan Potassium Losartan Potassium 162 13,080 $1,159.90 45
Omeprazole Omeprazole 155 9,799 $1,225.99 40
Simvastatin Simvastatin 130 10,560 $894.43 36
Gabapentin Gabapentin 130 8,190 $2,373.23 43
Tamsulosin Hcl Tamsulosin Hcl 122 9,267 $1,715.86 35
Metformin Hcl Metformin Hcl 109 9,550 $449.99 34
Pantoprazole Sodium Pantoprazole Sodium 105 7,615 $1,269.05 33
Metoprolol Succinate Metoprolol Succinate 94 6,630 $1,147.21 25
Furosemide Furosemide 90 4,978 $360.49 27
Fluticasone Propionate Fluticasone Propionate 86 4,290 $1,448.84 31
Escitalopram Oxalate Escitalopram Oxalate 74 2,978 $907.31 11
Azithromycin Azithromycin 63 317 $207.18 60
Cephalexin Cephalexin 61 1,040 $792.85 48
Eliquis Apixaban 61 2,605 $49,790.74 18
Montelukast Sodium Montelukast Sodium 60 2,940 $498.98 13
Duloxetine Hcl Duloxetine Hcl 60 3,801 $1,653.42 14
Tizanidine Hcl Tizanidine Hcl 57 1,824 $672.92 20
Hydrochlorothiazide Hydrochlorothiazide 56 4,720 $155.00 14
Albuterol Sulfate Hfa Albuterol Sulfate 56 1,967 $1,644.31 23
Sertraline Hcl Sertraline Hcl 55 4,435 $385.55 19

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2018030651

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES MO 2013024800

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
420060129 (MO)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20180827000882

Enrollment State Jurisdiction

MO

PECOS Control ID

5496004368

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lester E Cox Medical Centers

1001 E Primrose, Springfield, MO 658075155

Phone: 4178753000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Michael Albritton , MD

Radiology - Radiation Oncology

NPI 1548264971

Doctor of Medicine (M.D.)

Dr. Mark Anderson , MD

Internal Medicine - Interventional Cardiology

NPI 1073557922

Doctor of Medicine (M.D.)

NPI 1366814634

Doctor of Medicine (M.D.)

Dr. Hafiza Sobia Arshad , MD

Internal Medicine - Pulmonary Disease

NPI 1053667980

Doctor of Medicine (M.D.)

Brittany Bain , FNP-BC

Nurse Practitioner

NPI 1073182507

Family Nurse Practitioner (Board Certified)

Dr. Gigi Baker , MD

Internal Medicine

NPI 1184666117

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 17, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2018 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1821578956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: December 27, 2018
Sole Proprietor: No

Other Nurse Practitioners in Springfield

All Nurse Practitioners in Springfield

Mailing Address

Po Box 9007

Springfield, MO 658089007

Phone: 4178753462

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.