DR. JERRY SAMUEL GIVENS (M.D.) – Urology Physician, NPI 1164462412

DR. JERRY SAMUEL GIVENS (M.D.) is a healthcare provider. based in Branson, Missouri. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. MDR9B09 (MO). The NPI Number for DR. JERRY SAMUEL GIVENS (M.D.) is 1164462412

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY SAMUEL GIVENS (M.D.)
NPI
1164462412
Phone
(417) 348-8080
Address
525 Branson Landing Blvd Ste 307
Enumeration Date
7 June 2006
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173488080
Graduation Year
1980 (46 years ago)
PAC ID
6103904578
Group Practice PAC ID
5092624320
Professional Enrollment ID
I20080425000092
Address ID
MO656162126BR525XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

271 UROLOGY in MO

Provider Addresses for DR. JERRY SAMUEL GIVENS (M.D.)

  • 525 Branson Landing Blvd Ste 307

    Branson, MO 656162126

    Phone: (417) 348-8080

    Type: Location

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3000

    Type: Mailing

  • Cox Medical Center Branson, 525, Branson Landing Boulevard, Branson, Taney County, Missouri, 65616, United States

    FERRELL DUNCAN CLINIC UROLOGY (SUITE 307)

    BRANSON, MO 656164500

    Phone: (417) 335-7736

    Fax: (417) 334-3038

    Type: Location

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Olympus America Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Olympus America Inc.$20
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: 2008-04-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080425000092IUrologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes126101$0
99204New patient office or other outpatient visit, 45-59 minutes118118$0
52000Diagnostic exam of bladder and urethra using an endoscope10295$0
99213Established patient office or other outpatient visit, 20-29 minutes9783$0
51798Ultrasound measurement of bladder capacity after voiding8465$0
View full utilization report →

Insurance plans in this area (ZIP 65616)

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Provider's Procedures

DR. JERRY SAMUEL GIVENS (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMO51798Ultrasound measurement of bladder capacity after voiding9568

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: 5092624320View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeMO
-MO
-MO
Family PracticeMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
R H E U M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO

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Frequently asked questions

What federal number belongs to DR. JERRY SAMUEL GIVENS (M.D.)?
The federal identifier for DR. JERRY SAMUEL GIVENS (M.D.) is NPI 1164462412.
Is DR. JERRY SAMUEL GIVENS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JERRY SAMUEL GIVENS (M.D.) as an active registrant.
Does DR. JERRY SAMUEL GIVENS (M.D.) list a primary specialty?
If you are matching referrals, note Urology Physician for DR. JERRY SAMUEL GIVENS (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JERRY SAMUEL GIVENS (M.D.)?
The page summarizes Branson, Missouri for DR. JERRY SAMUEL GIVENS (M.D.); expand the address list for detail.
How can I contact DR. JERRY SAMUEL GIVENS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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