DR. JESSE CHARLES RHOADS (D.O.) – Psychiatry Physician, NPI 1255539540

DR. JESSE CHARLES RHOADS (D.O.) is a healthcare provider. based in Mountain grove, Missouri. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. RT-2100 (NH). The NPI Number for DR. JESSE CHARLES RHOADS (D.O.) is 1255539540

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE CHARLES RHOADS (D.O.)
NPI
1255539540
Phone
(417) 926-6563
Address
500 E 19th St
Enumeration Date
7 July 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
41725691116036
Graduation Year
2007 (19 years ago)
PAC ID
6800068487
Group Practice PAC ID
3870491863
Professional Enrollment ID
I20111003000508
Address ID
MO657752029WE1100XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

821 PSYCHIATRY in MO

Provider Addresses for DR. JESSE CHARLES RHOADS (D.O.)

  • 500 E 19th St

    Mountain Grove, MO 657111114

    Phone: (417) 926-6563

    Fax: (417) 926-5820

    Type: Location

  • 1100, Highway 11, Gowensville, Landrum, Greenville County, South Carolina, 29356, United States

    WEST PLAINS, MO 657751100

    Phone: (417) 257-6762

    Fax: (417) 257-5875

    Type: Mailing

  • Porter Wagoner Boulevard, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 657751826

    Phone: (417) 257-6762

    Fax: (417) 257-5875

    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: 2011-10-03

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
I20111003000508IPsychiatryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6422$0
99213Established patient office or other outpatient visit, 20-29 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 65711)

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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: 3870491863View full group profile
NameSpecialtyState
Family PracticeMO
Physician AssistantOK
-IL
Internal Medicine, RheumatologyMO
A N E S T H E S I O L O G YMO
-MO
-IL
Nurse PractitionerAR
-MO
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JESSE CHARLES RHOADS (D.O.)?
DR. JESSE CHARLES RHOADS (D.O.) — NPI 1255539540 — is the standard way to identify this listing.
Is DR. JESSE CHARLES RHOADS (D.O.) listed as active for patients and plans?
The listing shows DR. JESSE CHARLES RHOADS (D.O.) as active in the NPI system.
What is DR. JESSE CHARLES RHOADS (D.O.)'s specialty?
The listing groups DR. JESSE CHARLES RHOADS (D.O.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. JESSE CHARLES RHOADS (D.O.) list a practice location?
Patients near Mountain Grove, Missouri may find DR. JESSE CHARLES RHOADS (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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