DR. SAMUEL O JR. FADARE (MD) – Psychiatry Physician, NPI 1184685802
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
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Provider Addresses for DR. SAMUEL O JR. FADARE (MD)
PO BOX 254721
GLADSTONE, MO 64119
Phone: (816) 393-0095
Fax: (816) 216-1145
Type: Mailing
1513 UNION AVE STE 2500
MOBERLY, MO 652709412
Phone: (660) 372-1313
Fax: (660) 372-1339
Type: Mailing
Northeast 64th Street, Gladstone, Clay County, Missouri, 64119, United States
GLADSTONE, MO 641192327
Phone: (660) 372-1313
Fax: (660) 372-1339
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,171.
Total Amount is formed as General ($1,171) + Research ($0) + Ownership ($0) = $1,171.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: ABBVIE INC. ($275).
Total Amount
$1,171
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $275 |
| Janssen Pharmaceuticals, Inc | $192 |
| Teva Pharmaceuticals USA, Inc. | $158 |
| Otsuka America Pharmaceutical, Inc. | $131 |
| Alkermes, Inc. | $98 |
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: 2024-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20061107000433 | I | Psychiatry | KS | TBD |
| I20090211000649 | I | Psychiatry | MO | TBD |
| I20240417000494 | I | Addiction Medicine | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 64119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO |
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