MISS CASSANDRA KATHERINE ANNE FROM (D.O.) – Family Medicine Physician, NPI 1073908109
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for MISS CASSANDRA KATHERINE ANNE FROM (D.O.)
7900 LEES SUMMIT RD
KANSAS CITY, MO 641391236
Phone: (816) 404-4862
Type: Location
4105 NW 61ST TER
KANSAS CITY, MO 641512561
Phone: (816) 520-7697
Type: Mailing
1600 E EVERGREEN ST
CAMERON, MO 644292400
Phone: (816) 520-7697
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Mylan Specialty L.P. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $27 |
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: 2016-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161116001492 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 123 | 115 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 97 | 92 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 79 | 77 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 30 | 30 | $0 |
Insurance plans in this area (ZIP 64139)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice, Chiropractic | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | KS | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Psychiatry, Neurology | MO | |
| Nurse Practitioner | MO |
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