MISS COURTNEY MARGARET DE SOUZA (MD) – Family Medicine Physician, NPI 1255957163
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,337 FAMILY PRACTICE in MO
Provider Addresses for MISS COURTNEY MARGARET DE SOUZA (MD)
1300 N OAKLAND AVE
BOLIVAR, MO 656133042
Phone: (417) 326-7676
Type: Location
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Phone: (773) 878-2000
Fax: (773) 293-5670
Type: Mailing
5140 N CALIFORNIA AVE
CHICAGO, IL 60625
Phone: (773) 878-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $773.
Total Amount is formed as General ($773) + Research ($0) + Ownership ($0) = $773.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novo Nordisk Inc ($155).
Total Amount
$773
General + Research + Ownership
Payments
46
Total payment records
General Amount
$773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $155 |
| Lilly USA, LLC | $104 |
| AstraZeneca Pharmaceuticals LP | $102 |
| ABBVIE INC. | $61 |
| Amgen Inc. | $54 |
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: 2023-08-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230830001038 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Physician Assistant | MO | |
| Physician Assistant | NE | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Internal Medicine | LA | |
| - | MO |
Reviews
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