DR. SUSAN ALEXANDRIA WOODY (D.O.) – Nephrology Physician, NPI 1053408484

DR. SUSAN ALEXANDRIA WOODY (D.O.) is a healthcare provider. based in Springfield, Missouri. specializing in NEPHROLOGY. They hold the professional credentials D.O.. They hold a License No. 112946 (MO). The NPI Number for DR. SUSAN ALEXANDRIA WOODY (D.O.) is 1053408484

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN ALEXANDRIA WOODY (D.O.)
NPI
1053408484
Phone
(417) 886-5000
Address
1911 S NATIONAL AVE
Enumeration Date
6 October 2006
Last Update Date
1 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4178865000
Graduation Year
2000 (26 years ago)
PAC ID
7012016678
Group Practice PAC ID
6901905553
Professional Enrollment ID
I20100519000577
Address ID
MO658042213SP1911XAVEX401
Telehealth
Yes
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

319 NEPHROLOGY in MO

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Provider Addresses for DR. SUSAN ALEXANDRIA WOODY (D.O.)

  • 1911, South National Avenue, Meador Park, Springfield, Greene County, Missouri, 65804, United States

    SUITE 301

    SPRINGFIELD, MO 658042219

    Phone: (417) 886-5000

    Fax: (417) 886-1100

    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 $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($79).

Total Amount

$207

General + Research + Ownership

Payments

10

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

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: 2010-05-19

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
I20100519000577INephrologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)24345$0
90966Home dialysis services per month (20 years or older)18128$0
99214Established patient office or other outpatient visit, 30-39 minutes144115$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)10745$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9354$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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Provider's Procedures

DR. SUSAN ALEXANDRIA WOODY (D.O.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMO90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older42390
NEPHROLOGYMO90966Home dialysis services per month, patient 20 years of age or older18434

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: 6901905553View full group profile
NameSpecialtyState
Nurse PractitionerMO
N E P H R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineUT
Nephrology, Internal MedicineMO

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Frequently asked questions

What number should I use to identify DR. SUSAN ALEXANDRIA WOODY (D.O.) for billing?
Administrative and clinical systems typically use NPI 1053408484 for DR. SUSAN ALEXANDRIA WOODY (D.O.).
Does the public listing show DR. SUSAN ALEXANDRIA WOODY (D.O.) as active?
DR. SUSAN ALEXANDRIA WOODY (D.O.)'s NPI record reflects an active status in NPPES.
What services align with DR. SUSAN ALEXANDRIA WOODY (D.O.)'s listing?
DR. SUSAN ALEXANDRIA WOODY (D.O.)'s public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SUSAN ALEXANDRIA WOODY (D.O.)?
DR. SUSAN ALEXANDRIA WOODY (D.O.) shows a connection to Springfield, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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