DR. LAJON DAMON ADDISON (D.O.) – Emergency Medicine Physician, NPI 1104871854
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
Provider Addresses for DR. LAJON DAMON ADDISON (D.O.)
PO BOX 790126
DEPT 30535
SAINT LOUIS, MO 631790126
Phone: (800) 817-0903
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-8091
Fax: (573) 884-1902
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 322-5000
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372321462
Phone: (615) 322-5000
Type: Location
Memorial Hospital of Carbondale, 405, West Jackson Street, Carbondale, Jackson County, Illinois, 62902, United States
CARBONDALE, IL 629011462
Phone: (618) 549-0721
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $19 |
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: 2026-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040827000940 | I | Emergency Medicine | TN | TBD |
| I20160211000614 | I | Emergency Medicine | KY | TBD |
| I20251029001948 | I | Emergency Medicine | CO | TBD |
| I20260217003457 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 240 | 233 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 80 | 79 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 39 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 22 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 63179)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | FL | |
| - | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| Nurse Practitioner | VA | |
| - | TN | |
| Nurse Practitioner | NC |
Reviews
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