JEREMY D MABE (MD) – Family Medicine Physician, NPI 1053355206

JEREMY D MABE (MD) is a healthcare provider. based in Branson, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2000154576 (MO). The NPI Number for JEREMY D MABE (MD) is 1053355206

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY D MABE (MD)
NPI
1053355206
Phone
(417) 348-8964
Address
1150 STATE HIGHWAY 248
Enumeration Date
16 June 2006
Last Update Date
24 March 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
4173488646
Graduation Year
1998 (28 years ago)
PAC ID
0547224883
Group Practice PAC ID
5092624320
Professional Enrollment ID
I20041116000771
Address ID
MO656162152BR525XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

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Provider Addresses for JEREMY D MABE (MD)

  • State Highway 248, Branson, Taney County, Missouri, 65616-8142, United States

    STE. 202

    BRANSON, MO 656163758

    Phone: (417) 348-8964

    Fax: (417) 336-0275

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($76).

Total Amount

$189

General + Research + Ownership

Payments

10

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041116000771IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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 65616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092624320View full group profile
NameSpecialtyState
Family PracticeMO
-MO
-MO
Family PracticeMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
R H E U M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
R H E U M A T O L O G YMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the 10-digit NPI for JEREMY D MABE (MD)?
JEREMY D MABE (MD) — NPI 1053355206 — is the standard way to identify this listing.
Is JEREMY D MABE (MD) still practicing?
JEREMY D MABE (MD) is currently listed as active in the public NPI registry.
What healthcare role does JEREMY D MABE (MD) hold?
Scheduling teams often label JEREMY D MABE (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEREMY D MABE (MD)?
JEREMY D MABE (MD)'s geographic hint is Branson, Missouri in our summary view.
Is the information about JEREMY D MABE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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