BRENT D SPEAK (DO) – Obstetrics & Gynecology Physician, NPI 1063681419
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
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Provider Addresses for BRENT D SPEAK (DO)
1416, Crown Drive, Kingsridge, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635012548
Phone: (660) 627-5757
Fax: (660) 627-5802
Type: Mailing
402, West Jefferson Street, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635013407
Phone: (660) 665-3555
Fax: (660) 665-3547
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Organon LLC ($37).
Total Amount
$149
General + Research + Ownership
Payments
8
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
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: 2009-08-11
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 |
|---|---|---|---|---|
| I20090811000228 | I | Obstetrics/Gynecology | 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 63501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Registered Dietitian Or Nutrition Professional | MO | |
| - | MO | |
| Family Practice | MO | |
| Family Practice | KS |
Reviews
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