PHILIP S. MCINTIRE (D.O.) – Surgery Physician, NPI 1154454916

PHILIP S. MCINTIRE (D.O.) is a healthcare provider. based in Kirksville, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. R5E68 (MO). The NPI Number for PHILIP S. MCINTIRE (D.O.) is 1154454916

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP S. MCINTIRE (D.O.)
NPI
1154454916
Phone
(660) 665-4432
Address
800 W JEFFERSON ST
Enumeration Date
13 March 2007
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6606654432
Graduation Year
1978 (48 years ago)
PAC ID
0042303521
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20070830000036
Address ID
MO635011443KI800XXFLXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

785 GENERAL SURGERY in MO

Provider Addresses for PHILIP S. MCINTIRE (D.O.)

  • 800 W JEFFERSON ST

    2ND FLOOR GUTENSOHN CLINIC

    KIRKSVILLE, MO 635011443

    Phone: (660) 665-4432

    Fax: (660) 956-4392

    Type: Location

  • 800 W JEFFERSON ST FL 2

    KIRKSVILLE, MO 635011443

    Phone: (660) 665-4432

    Fax: (660) 956-4392

    Type: Location

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 $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($116).

Total Amount

$116

General + Research + Ownership

Payments

2

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2007-08-30

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
I20070830000036IGeneral SurgeryMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6248$0
99214Established patient office or other outpatient visit, 30-39 minutes4731$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4646$0
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery3735$0
99212Established patient office or other outpatient visit, 10-19 minutes3127$0
View full utilization report →

Insurance plans in this area (ZIP 63501)

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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: 1254236300View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Internal MedicineMO
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
P A T H O L O G YMO
Internal Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What is the registry number for PHILIP S. MCINTIRE (D.O.)?
The registry entry for PHILIP S. MCINTIRE (D.O.) shows NPI 1154454916.
Does the public listing show PHILIP S. MCINTIRE (D.O.) as active?
PHILIP S. MCINTIRE (D.O.)'s NPI record reflects an active status in NPPES.
What services align with PHILIP S. MCINTIRE (D.O.)'s listing?
PHILIP S. MCINTIRE (D.O.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PHILIP S. MCINTIRE (D.O.)?
PHILIP S. MCINTIRE (D.O.) shows a connection to Kirksville, Missouri in registry-derived data.
Who maintains PHILIP S. MCINTIRE (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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