ESSAM ELKADY (MD) – Sleep Medicine (Internal Medicine) Physician, NPI 1124125190
Sleep Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
411 PULMONARY DISEASE in MO
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Provider Addresses for ESSAM ELKADY (MD)
100 MERCY WAY
JOPLIN, MO 648044524
Phone: (417) 556-2330
Type: Mailing
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658089007
Phone: (417) 875-3462
Type: Mailing
510, South National Avenue, Rountree/Walnut, Springfield, Greene County, Missouri, 65802, United States
SPRINGFIELD, MO 658075284
Phone: (417) 875-3549
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $402.
Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($172).
Total Amount
$402
General + Research + Ownership
Payments
15
Total payment records
General Amount
$402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2009-05-27
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 |
|---|---|---|---|---|
| I20090527000485 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 210 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 134 | 134 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 131 | 128 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 131 | 128 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 85 | 83 | $0 |
Insurance plans in this area (ZIP 64804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SLEEP MEDICINE | MO | 94727 | Determination of lung volumes using gas dilution or washout | 96 | 96 |
| SLEEP MEDICINE | MO | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 129 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| U R O L O G Y | MO | |
| R H E U M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MO | |
| - | MO | |
| Orthopedic Surgery | MO |
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