DWAYNE NATHAN DAMBA (DO) – Family Medicine Physician, NPI 1194777193
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DWAYNE NATHAN DAMBA (DO)
16, Mahogany Run, Farmington, Saint Francois County, Missouri, 63640, United States
FARMINGTON, MO 636407785
Phone: (573) 366-1077
Fax: (573) 701-7117
Type: Mailing
1212, Weber Road, Farmington, Saint Francois County, Missouri, 63640, United States
FARMINGTON, MO 636403325
Phone: (573) 701-7215
Fax: (573) 701-7117
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: 2004-05-11
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 |
|---|---|---|---|---|
| I20040511000247 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 247 | 232 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 71 | 68 | $0 |
| 99291 | Critical care, first 30-74 minutes | 67 | 65 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 16 | 16 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | IN | |
| Emergency Medicine | MA | |
| - | PA | |
| - | TN | |
| Emergency Medicine, Pediatric Medicine | IL | |
| Emergency Medicine, Pediatric Medicine | TN | |
| - | MO | |
| Emergency Medicine, Family Practice | FL | |
| Emergency Medicine | MO | |
| - | CT |
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