PAUL M ANGLETON (MD) – Emergency Medicine Physician, NPI 1043242001
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAUL M ANGLETON (MD)
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
3916 S PROVIDENCE RD STE 101
COLUMBIA, MO 652037152
Phone: (573) 882-1662
Fax: (573) 882-4096
Type: Location
Mercy Clinic Family Medicine W Meyer Road, 1502, West Meyer Road, Wentzville, Saint Charles County, Missouri, 63385, United States
WENTZVILLE, MO 633853653
Phone: (636) 698-6200
Type: Mailing
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: 2013-04-23
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 |
|---|---|---|---|---|
| I20130423000252 | I | Emergency Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64184)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| - | MO | |
| - | MO | |
| Emergency Medicine | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | MO | |
| C H I R O P R A C T I C | MO | |
| Emergency Medicine | MO | |
| Allergy/Immunology, Internal Medicine | MO | |
| Physician Assistant | IL |
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