DR. JOHN KENNETH APPELBAUM (MD) – Obstetrics & Gynecology Physician, NPI 1154409399

DR. JOHN KENNETH APPELBAUM (MD) is a healthcare provider. based in Farmington, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. R8F50 (MO). The NPI Number for DR. JOHN KENNETH APPELBAUM (MD) is 1154409399

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN KENNETH APPELBAUM (MD)
NPI
1154409399
Phone
(573) 756-6751
Address
1103 W Liberty St
Enumeration Date
2 November 2006
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149965000
Graduation Year
1984 (42 years ago)
PAC ID
0840206371
Group Practice PAC ID
3476461955
Professional Enrollment ID
I20120229000136
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for DR. JOHN KENNETH APPELBAUM (MD)

  • 1103 W Liberty St

    Farmington, MO 636401921

    Phone: (573) 756-6751

    Fax: (573) 756-6807

    Type: Location

  • 3023, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    STE 120D

    ST LOUIS, MO 63131

    Phone: (314) 432-3669

    Fax: (314) 432-3118

    Type: Mailing

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Organon LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$21
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: 2012-02-29

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
I20120229000136IObstetrics/GynecologyMOTBD

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 63640)

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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: 3476461955View full group profile
NameSpecialtyState
Physician AssistantMO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

Where can patients find DR. JOHN KENNETH APPELBAUM (MD)'s NPI?
You can confirm DR. JOHN KENNETH APPELBAUM (MD) with NPI 1154409399; it appears in the national provider directory.
Is DR. JOHN KENNETH APPELBAUM (MD)'s NPI currently valid?
The extract we use shows DR. JOHN KENNETH APPELBAUM (MD) as active.
What kind of provider is DR. JOHN KENNETH APPELBAUM (MD)?
The page reflects Obstetrics & Gynecology Physician for DR. JOHN KENNETH APPELBAUM (MD). Clinical services aligned with this taxonomy classification.
Does DR. JOHN KENNETH APPELBAUM (MD) practice in Missouri?
You will see Farmington, Missouri on file for DR. JOHN KENNETH APPELBAUM (MD) alongside any extra practice locations.
Is DR. JOHN KENNETH APPELBAUM (MD) a real provider?
This page reflects official NPPES data for NPI 1154409399. Always confirm identity and privileges with the practice and licensing boards.

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