JAMES MATTHEW CAMPBELL (PA-C) – Medical Physician Assistant, NPI 1144550724
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for JAMES MATTHEW CAMPBELL (PA-C)
331 SIJAN AVE
WHITEMAN, MO 65336
Phone: (606) 687-2188
Type: Mailing
310 W Losey St
375 MDOS/SGOP
Scott AFB, IL 622255250
Phone: (618) 256-2532
Type: Location
331 Sijan Ave
Whiteman AFB, MO 653051269
Phone: (660) 687-2188
Fax: (660) 687-4414
Type: Location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Phone: (210) 292-7447
Type: Location
500 S 11TH AVE
POCATELLO, ID 832014835
Phone: (208) 232-6214
Fax: (801) 584-1215
Type: Mailing
1515 E CLARK ST
POCATELLO, ID 832014133
Phone: (208) 233-2273
Type: Mailing
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 782365638
Phone: (210) 292-7447
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Novo Nordisk Inc ($39).
Total Amount
$76
General + Research + Ownership
Payments
4
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $39 |
| PFIZER INC. | $38 |
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: 2024-03-25
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 |
|---|---|---|---|---|
| I20240325004081 | I | Physician Assistant | ID | 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 65336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Osteopathic Manipulative Medicine, Family Practice, General Practice | CO | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| Family Practice | WA | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID |
Reviews
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