ALLEN JR. LAVENDER (D.O.) – Psychiatry Physician, NPI 1124339478

ALLEN JR. LAVENDER (D.O.) is a healthcare provider. based in Columbia, Missouri. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 2010019772 (MO). The NPI Number for ALLEN JR. LAVENDER (D.O.) is 1124339478

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
ALLEN JR. LAVENDER (D.O.)
NPI
1124339478
Phone
(573) 882-8885
Address
ONE HOSPITAL DRIVE
Enumeration Date
1 July 2010
Last Update Date
1 July 2010

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
7810123288
Group Practice PAC ID
5193712073
Professional Enrollment ID
I20141202000766
Address ID
GA302631974NE52XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for ALLEN JR. LAVENDER (D.O.)

  • ONE HOSPITAL DRIVE

    DC018.00

    COLUMBIA, MO 65212

    Phone: (573) 882-8885

    Fax: (573) 884-5396

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($30).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-12-02

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
I20141202000766IPsychiatryGATBD

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 65212)

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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: 5193712073View full group profile
NameSpecialtyState
Nurse PractitionerNC
P S Y C H I A T R YGA
P S Y C H I A T R YAL
-GA
Mental Health CounselorGA
Physician AssistantGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

Is there an official ID for ALLEN JR. LAVENDER (D.O.) in U.S. healthcare records?
The official identifier for ALLEN JR. LAVENDER (D.O.) is NPI 1124339478.
Would ALLEN JR. LAVENDER (D.O.) appear as active to a payer?
You can treat ALLEN JR. LAVENDER (D.O.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ALLEN JR. LAVENDER (D.O.)'s focus?
For ALLEN JR. LAVENDER (D.O.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ALLEN JR. LAVENDER (D.O.)?
Directory geography for ALLEN JR. LAVENDER (D.O.) centers on Columbia, Missouri.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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