NATHANIEL M PHELAN (MD) – Dermatology Physician, NPI 1225327422

NATHANIEL M PHELAN (MD) is a healthcare provider. based in Pineville, Missouri. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials MD. They hold a License No. 2018014111 (MO). The NPI Number for NATHANIEL M PHELAN (MD) is 1225327422

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL M PHELAN (MD)
NPI
1225327422
Phone
(417) 622-0293
Address
21088 US Business Highway 71, #7
Enumeration Date
29 March 2011
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4176220293
Graduation Year
2011 (15 years ago)
PAC ID
2769799535
Group Practice PAC ID
9234538331
Professional Enrollment ID
I20200911001609
Address ID
MO648043904JO520XXSTXX400

Contacts

Secure Messaging
info@phelandermatology.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

337 DERMATOLOGY in MO

Provider Addresses for NATHANIEL M PHELAN (MD)

  • 21088 US Business Highway 71, #7

    Pineville, MO 64856

    Phone: (417) 622-0293

    Fax: (833) 275-1784

    Type: Location

  • 2431 E 32ND ST STE B

    JOPLIN, MO 648043128

    Phone: (417) 622-0293

    Type: Mailing

  • 520 E 32ND ST

    JOPLIN, MO 648043904

    Phone: (417) 622-0293

    Fax: (833) 275-1784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 332 Open Payments records for all available years, with a total value of $6,168.

Total Amount is formed as General ($6,168) + Research ($0) + Ownership ($0) = $6,168.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($1,627).

Total Amount

$6,168

General + Research + Ownership

Payments

332

Total payment records

General Amount

$6,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200911001609IDermatologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3245Injection, tildrakizumab, 1 mg4,80018$0
17003Destruction of precancer skin growth, 2-14 growths615131$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg44362$0
99213Established patient office or other outpatient visit, 20-29 minutes346273$0
99214Established patient office or other outpatient visit, 30-39 minutes312241$0
View full utilization report →

Insurance plans in this area (ZIP 64856)

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Reviews

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Frequently asked questions

Can I verify NATHANIEL M PHELAN (MD) with an NPI only?
You can start verification with NPI 1225327422 for NATHANIEL M PHELAN (MD), then check state licensing separately.
Is NATHANIEL M PHELAN (MD) listed as active for patients and plans?
The listing shows NATHANIEL M PHELAN (MD) as active in the NPI system.
What is NATHANIEL M PHELAN (MD)'s primary classification?
Dermatology Physician is the headline specialty for NATHANIEL M PHELAN (MD) here. Clinical services aligned with this taxonomy classification.
Where is NATHANIEL M PHELAN (MD) based?
NATHANIEL M PHELAN (MD) is tied to Pineville, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about NATHANIEL M PHELAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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