MR. TODD ROBERT EARHART (PA-C) – Physician Assistant, NPI 1184686487

MR. TODD ROBERT EARHART (PA-C) is a healthcare provider. based in Columbia, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2005002886 (MO). The NPI Number for MR. TODD ROBERT EARHART (PA-C) is 1184686487

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. TODD ROBERT EARHART (PA-C)
NPI
1184686487
Phone
(573) 884-4400
Address
1 HOSPITAL DR
Enumeration Date
4 April 2006
Deactivation Date
17 July 2007
Reactivation Date
6 August 2007
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145696440
Graduation Year
2004 (22 years ago)
PAC ID
1355383597
Group Practice PAC ID
1658320700
Professional Enrollment ID
I20050526000862
Address ID
MO631418261SA621XXRDXX507

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MR. TODD ROBERT EARHART (PA-C)

  • 1 HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 884-4400

    Fax: (573) 884-5994

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 884-4400

    Fax: (573) 884-5994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-26

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
I20050526000862IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65212)

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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: 1658320700View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Physician AssistantMO
Nurse PractitionerMO
Physician AssistantIL
Physician AssistantMO
General SurgeryIL

Reviews

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Frequently asked questions

Where can patients find MR. TODD ROBERT EARHART (PA-C)'s NPI?
You can confirm MR. TODD ROBERT EARHART (PA-C) with NPI 1184686487; it appears in the national provider directory.
Is MR. TODD ROBERT EARHART (PA-C) active in the national directory?
MR. TODD ROBERT EARHART (PA-C)'s public NPI profile is in an active state.
What field does MR. TODD ROBERT EARHART (PA-C) work in?
You can think of MR. TODD ROBERT EARHART (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. TODD ROBERT EARHART (PA-C)'s primary listing?
We display Columbia, Missouri because that is what the record indicates for MR. TODD ROBERT EARHART (PA-C).
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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