TRICIA LYN FAIRCHILD (M.D.) – Family Medicine Physician, NPI 1609169499
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
Provider Addresses for TRICIA LYN FAIRCHILD (M.D.)
1345 W CENTRAL PARK AVE
FAMILY MEDICINE RESIDENCY PROGRAM
DAVENPORT, IA 528041844
Phone: (563) 421-4400
Type: Location
600 NW MURRAY RD STE 210
LEES SUMMIT, MO 640811245
Phone: (816) 524-2626
Type: Location
600 NW Murray Rd Ste 210
Lees Summit, MO 640811245
Phone: (816) 524-2626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medline Industries LP ($57).
Total Amount
$180
General + Research + Ownership
Payments
8
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $57 |
| Organogenesis Inc. | $55 |
| Smith+Nephew, Inc. | $48 |
| Solventum Corporation | $21 |
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: 2018-05-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180508000071 | I | Family Practice | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 46 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | 23 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 21 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 11 | 11 | $0 |
Insurance plans in this area (ZIP 52804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IA | 90670 | Pneumococcal vaccine for injection into muscle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Family Practice | MO | |
| Geriatric Medicine, Family Practice | MO | |
| Osteopathic Manipulative Medicine | MO | |
| Family Practice | MO | |
| Family Practice | AL | |
| Family Practice | MO | |
| Internal Medicine, Critical Care (Intensivists), Geriatric Medicine | MO | |
| - | MO | |
| - | MO |
Reviews
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