PATRICK EDWARD MACMILLAN (D.O.) – Family Medicine Physician, NPI 1073604690

PATRICK EDWARD MACMILLAN (D.O.) is a healthcare provider. based in Rogersville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. R2H29 (MO). The NPI Number for PATRICK EDWARD MACMILLAN (D.O.) is 1073604690

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK EDWARD MACMILLAN (D.O.)
NPI
1073604690
Phone
(417) 753-9404
Address
101 S MAIN ST
Enumeration Date
27 September 2006
Last Update Date
17 August 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4174664110
Graduation Year
1985 (41 years ago)
PAC ID
7214097906
Group Practice PAC ID
5092616276
Professional Enrollment ID
I20241104002606
Address ID
MO657121407MO108XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for PATRICK EDWARD MACMILLAN (D.O.)

  • 101, South Main Street, Rogersville, Webster County, Missouri, 65742, United States

    ROGERSVILLE, MO 657429357

    Phone: (417) 753-9404

    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)

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: 2008-11-26

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
I20081126000092IFamily 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 65742)

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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: 5092616276View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineMO
-MO
Nurse PractitionerMO
Clinical PsychologistMO
Clinical Social WorkerMO
-OK
Geriatric Medicine, Family PracticeMO
Clinical Social WorkerMO
-MO
-MO

Reviews

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Frequently asked questions

How do I look up PATRICK EDWARD MACMILLAN (D.O.) by NPI?
Use NPI 1073604690 when you need to reference PATRICK EDWARD MACMILLAN (D.O.) in forms, claims, or directories.
Is PATRICK EDWARD MACMILLAN (D.O.) active in the national directory?
PATRICK EDWARD MACMILLAN (D.O.)'s public NPI profile is in an active state.
Can you summarize PATRICK EDWARD MACMILLAN (D.O.)'s specialty in plain language?
Clinically, the directory lists PATRICK EDWARD MACMILLAN (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PATRICK EDWARD MACMILLAN (D.O.)?
The page summarizes Rogersville, Missouri for PATRICK EDWARD MACMILLAN (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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