JOSHUA ETCHESON (DO) – Family Medicine Physician, NPI 1124648654
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 JOSHUA ETCHESON (DO)
1423 N JEFFERSON AVE # B100
SPRINGFIELD, MO 658021917
Phone: (417) 269-8817
Fax: (417) 269-8744
Type: Mailing
PO BOX 802843
KANSAS CITY, MO 641802843
Phone:
Type: Mailing
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 658075279
Phone: (417) 269-8817
Fax: (417) 269-8744
Type: Location
403 main st
golden city, MO 64748
Phone: (000) 000-0000
Type: Location
29 NW 1st Ln
LaMar, MO 647598105
Phone: (000) 000-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: PFIZER INC. ($46).
Total Amount
$167
General + Research + Ownership
Payments
9
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $46 |
| Novo Nordisk Inc | $36 |
| Otsuka America Pharmaceutical, Inc. | $31 |
| GENZYME CORPORATION | $23 |
| Phathom Pharmaceuticals, Inc. | $15 |
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: 2023-07-28
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 |
|---|---|---|---|---|
| I20230728000258 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| P O D I A T R Y | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
Reviews
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