EDWIN DEAN BRESHEARS (M.D.) – Emergency Medicine Physician, NPI 1154417178
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EDWIN DEAN BRESHEARS (M.D.)
PO BOX 843966 SUITE B
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
3527 W TRUMAN BLVD
JEFFERSON CITY, MO 651095901
Phone: (573) 882-8910
Fax: (573) 884-1585
Type: Location
3308, West Edgewood Drive, Jefferson City, Cole County, Missouri, 65109, United States
SUITE B
JEFFERSON CITY, MO 651096891
Phone: (573) 893-7848
Fax: (573) 893-1984
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Optinose US, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $14 |
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: 2005-05-11
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 |
|---|---|---|---|---|
| I20050511000000 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 196 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 130 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 38 | 20 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 37 | 28 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 27 | 27 | $0 |
Insurance plans in this area (ZIP 64184)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| - | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| - | MO | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists), Internal Medicine | MO | |
| - | MO | |
| - | MO |
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