DR. AMY O PUDERBAUGH (DO) – Internal Medicine Physician, NPI 1174878409
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. AMY O PUDERBAUGH (DO)
PO BOX 256
LIBERTY, MO 640690256
Phone: (816) 968-9320
Type: Mailing
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Phone: (816) 968-9320
Type: Location
3071 S GRAND AVE
CARTHAGE, MO 648367851
Phone: (417) 310-9286
Fax: (417) 674-4662
Type: Mailing
2 Stonecrest
Saint Joseph, MO 645063127
Phone: (816) 639-0101
Type: Location
8901 Wisconsin Ave
Bethesda, MD 208890004
Phone: (301) 319-8361
Type: Location
2800 Clay Edwards Dr
North Kansas City, MO 64116
Phone: (816) 968-9320
Type: Location
2525 Glenn Hendren Dr
Liberty, MO 640689625
Phone: (816) 968-9320
Type: Location
9300A E Gregory Blvd
Raytown, MO 641336523
Phone: (816) 946-6930
Fax: (855) 813-5433
Type: Location
2 STONECREST
SAINT JOSEPH, MO 645063127
Phone: (816) 639-0101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $872.
Total Amount is formed as General ($872) + Research ($0) + Ownership ($0) = $872.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($191).
Total Amount
$872
General + Research + Ownership
Payments
23
Total payment records
General Amount
$872
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $191 |
| AstraZeneca Pharmaceuticals LP | $188 |
| Otsuka America Pharmaceutical, Inc. | $151 |
| Medtronic, Inc. | $144 |
| Lilly USA, LLC | $59 |
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: 2019-07-22
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 |
|---|---|---|---|---|
| I20190722001455 | I | Internal Medicine | 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 | 160 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 63 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 56 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 33 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 32 | 24 | $0 |
Insurance plans in this area (ZIP 64069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | MO | |
| H O S P I T A L I S T | MO | |
| H O S P I T A L I S T | MO | |
| Internal Medicine, Hospitalist | MO | |
| Hospitalist, Internal Medicine | MO | |
| Hospitalist, Internal Medicine | MO | |
| Hospitalist, Internal Medicine | MO | |
| Hospitalist, Internal Medicine | MO |
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