PHYLLIS EASON (M.D.) – Psychiatry Physician, NPI 1174596746
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for PHYLLIS EASON (M.D.)
2016 S Main St
Maryville, MO 644682655
Phone: (660) 562-2600
Type: Location
400 NE Mother Joseph Pl
Vancouver, WA 986643200
Phone: (360) 514-3191
Fax: (360) 729-3372
Type: Location
The Box, Fargo Village, Lower Stoke, Coventry, West Midlands Combined Authority, West Midlands, England, CV1 5ED, United Kingdom
FARGO, ND 581072168
Phone: (701) 234-2119
Type: Mailing
100, 4th Street South, Downtown, Fargo, Cass County, North Dakota, 58103, United States
FARGO, ND 581031929
Phone: (701) 234-3100
Fax: (701) 234-3120
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 $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Indivior Inc. ($28).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $28 |
| Lundbeck LLC | $20 |
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: 2024-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20081024000255 | I | Psychiatry | GA | TBD |
| I20130826000908 | I | Psychiatry | ND | TBD |
| I20160210001933 | I | Psychiatry | MO | TBD |
| I20200331001666 | I | Psychiatry | WI | TBD |
| I20241220001892 | I | Psychiatry | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64468)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | KS | |
| Cardiovascular Disease (Cardiology), Internal Medicine | AR |
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