THOMAS JOHN KNUTSON (MD) – Psychiatry Physician, NPI 1003109745
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for THOMAS JOHN KNUTSON (MD)
180 DEBUYS RD
BILOXI, MS 395314402
Phone: (228) 388-0600
Fax: (228) 388-0620
Type: Mailing
1100 N KENTUCKY AVE
WEST PLAINS, MO 657752029
Phone: (417) 257-6786
Type: Location
7500 N DREAMY DRAW DR STE 145
PHOENIX, AZ 850204668
Phone: (480) 882-4545
Fax: (480) 882-5814
Type: Mailing
11851 N 51ST AVE
GLENDALE, AZ 853042809
Phone: (480) 882-4545
Fax: (480) 882-5814
Type: Location
PO BOX 30
TRENTON, MO 646830030
Phone: (660) 359-4487
Fax: (660) 359-4487
Type: Mailing
1601 E 28TH ST
TRENTON, MO 646831178
Phone: (660) 359-4487
Fax: (660) 359-2958
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $349.
Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($194).
Total Amount
$349
General + Research + Ownership
Payments
22
Total payment records
General Amount
$349
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-04-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20160121001681 | I | Psychiatry | MO | TBD |
| I20170815002725 | I | Psychiatry | CT | TBD |
| I20171201002147 | I | Psychiatry | AZ | TBD |
| I20191125001809 | I | Psychiatry | NE | TBD |
| I20220405003232 | I | Psychiatry | UT | 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 | 34 | 14 | $0 |
Insurance plans in this area (ZIP 39531)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Family Practice | MO | |
| Clinical Social Worker | MO |
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