DR. JERAD E WIDMAN (M.D.) – Family Medicine Physician, NPI 1083655039

DR. JERAD E WIDMAN (M.D.) is a healthcare provider. based in Albany, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-30763 (KS). The NPI Number for DR. JERAD E WIDMAN (M.D.) is 1083655039

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERAD E WIDMAN (M.D.)
NPI
1083655039
Phone
(660) 726-3941
Address
705 N College St
Enumeration Date
9 June 2006
Last Update Date
23 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6604762121
Graduation Year
2001 (25 years ago)
PAC ID
5496712168
Group Practice PAC ID
0345153680
Professional Enrollment ID
I20050210000727
Address ID
MO647241617AP408XXSTXX401
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

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. JERAD E WIDMAN (M.D.)

  • 705 N College St

    Albany, MO 644021433

    Phone: (660) 726-3941

    Fax: (660) 726-3946

    Type: Location

  • South Harrison Street, Spring Hill, Johnson County, Kansas, 66083, United States

    STE 100

    SPRING HILL, KS 660833151

    Phone: (913) 592-2720

    Fax: (913) 592-2725

    Type: Mailing

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: 2005-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041214000750IFamily PracticeMOTBD
I20050210000727IFamily PracticeKSTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3718$0
View full utilization report →

Insurance plans in this area (ZIP 64402)

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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: 0345153680View full group profile
NameSpecialtyState
P O D I A T R YMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Emergency MedicineMO
Nurse PractitionerMO
Internal Medicine, RheumatologyMO
Orthopedic SurgeryMO
Family PracticeMO
O P H T H A L M O L O G YAR
Family PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to DR. JERAD E WIDMAN (M.D.)?
The federal identifier for DR. JERAD E WIDMAN (M.D.) is NPI 1083655039.
Does this profile mean DR. JERAD E WIDMAN (M.D.) is currently active?
Yes — DR. JERAD E WIDMAN (M.D.) appears active in the national provider directory.
What does DR. JERAD E WIDMAN (M.D.) treat or focus on?
Patients typically see DR. JERAD E WIDMAN (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JERAD E WIDMAN (M.D.)?
The snapshot lists Albany, Missouri for DR. JERAD E WIDMAN (M.D.); download NPPES for the complete set.
Is DR. JERAD E WIDMAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1083655039. Always confirm identity and privileges with the practice and licensing boards.

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