Unknown Individual – Family Medicine Physician, NPI 1003894403
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
1012, North Main Street, Sikeston, Scott County, Missouri, 63801, United States
SIKESTON, MO 638015044
Phone: (573) 431-0330
Fax: (573) 472-2966
Type: Location
Sikeston Post Office, East North Street, Sikeston, Scott County, Missouri, 63801, United States
SIKESTON, MO 638011068
Phone: (573) 431-0330
Fax: (573) 472-2966
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Alkermes, Inc. ($61).
Total Amount
$61
General + Research + Ownership
Payments
4
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $61 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 469 | 273 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 422 | 263 | $0 |
| 83036 | Hemoglobin a1c level | 188 | 105 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 108 | 60 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 85 | 84 | $0 |
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO |
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