KENDALL P DESELMS (DO, DC) – Family Medicine Physician, NPI 1164406278

KENDALL P DESELMS (DO, DC) is a healthcare provider. based in Cameron, Missouri. specializing in FAMILY PRACTICE, CHIROPRACTIC. They hold the professional credentials DO, DC. They hold a License No. 005457 (MO). The NPI Number for KENDALL P DESELMS (DO, DC) is 1164406278

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL P DESELMS (DO, DC)
NPI
1164406278
Phone
(816) 632-2101
Address
1600 E EVERGREEN ST
Enumeration Date
1 December 2005
Last Update Date
2 December 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8166326100
Graduation Year
1995 (31 years ago)
PAC ID
0648239202
Group Practice PAC ID
5092622001
Professional Enrollment ID
I20041008000185
Address ID
MO644292400CA221XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Loading map...

Provider Addresses for KENDALL P DESELMS (DO, DC)

  • Cameron Regional Medical Center, 1600, East Evergreen Street, Cameron, Clinton County, Missouri, 64429, United States

    PO BOX 557

    CAMERON, MO 644292400

    Phone: (816) 632-2101

    Fax: (816) 649-3383

    Type: Mailing

  • 221, East 7th Street, Brownsville, Cameron County, Texas, 78520, United States

    CAMERON, MO 644291722

    Phone: (816) 632-8407

    Fax: (816) 632-2943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Mylan Specialty L.P. ($61).

Total Amount

$249

General + Research + Ownership

Payments

13

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2004-10-08

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
I20041008000185IFamily PracticeMOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6922$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2119$0
99238Hospital discharge day management, 30 minutes or less1614$0
View full utilization report →

Insurance plans in this area (ZIP 64429)

Loading plans...

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: 5092622001View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
P S Y C H I A T R YKS
D E R M A T O L O G YMO
Nurse PractitionerMO
Psychiatry, NeurologyMO
Nurse PractitionerMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify KENDALL P DESELMS (DO, DC) for billing?
Administrative and clinical systems typically use NPI 1164406278 for KENDALL P DESELMS (DO, DC).
Does the public listing show KENDALL P DESELMS (DO, DC) as active?
KENDALL P DESELMS (DO, DC)'s NPI record reflects an active status in NPPES.
What does the directory say KENDALL P DESELMS (DO, DC) does?
Insurance directories may phrase it differently, but here KENDALL P DESELMS (DO, DC) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KENDALL P DESELMS (DO, DC) tied to Cameron, Missouri?
If you are local to Cameron, Missouri, KENDALL P DESELMS (DO, DC) may be relevant to your search.
Who maintains KENDALL P DESELMS (DO, DC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

THEODORE H RIGHTS (MD)

Family Medicine Physician
Cameron Regional Medical Center, 1600, East Evergreen Street, Cameron, Clinton County, Missouri, 64429, United States
NPI: 1255315289

JAMES W NEELY (DO)

Family Medicine Physician
Cameron Regional Medical Center, 1600, East Evergreen Street, Cameron, Clinton County, Missouri, 64429, United States
NPI: 1962486951

JOHN S III BARTON (DO)

Surgery Physician
CAMERON REGIONAL MEDICAL CENTER, INC.
NPI: 1942284674

DR. JAMES KAY STONEKING (D.O.)

Family Medicine Physician
515, South Birch Avenue, Plattsburg, Clinton County, Missouri, 64477, United States
NPI: 1336253343

DR. LAURA LEIGH HARBISON (DO)

Family Medicine Physician
1600 E EVERGREEN
NPI: 1427239318

LINDSAY J RICE (MD)

Family Medicine Physician
250 N Columbia Ave
NPI: 1235367988

DR. BETSY ANNE FOX MCCLURE (DO)

Family Medicine Physician
PO BOX 151
NPI: 1548587934
7900 LEES SUMMIT RD
NPI: 1073908109