WILLIAM LEWIS MCKAY (DO) – Family Medicine Physician, NPI 1265417331

WILLIAM LEWIS MCKAY (DO) is a healthcare provider. based in Mount vernon, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R5G53 (MO). The NPI Number for WILLIAM LEWIS MCKAY (DO) is 1265417331

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM LEWIS MCKAY (DO)
NPI
1265417331
Phone
(417) 466-4110
Address
108 S HICKORY ST
Enumeration Date
13 December 2005
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4174664110
Graduation Year
1983 (43 years ago)
PAC ID
7315985447
Group Practice PAC ID
5092616276
Professional Enrollment ID
I20081205000103
Address ID
MO657121407MO108XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for WILLIAM LEWIS MCKAY (DO)

  • 108, South Hickory Street, Mount Vernon, Lawrence County, Missouri, 65712, United States

    MOUNT VERNON, MO 657121407

    Phone: (417) 466-4110

    Fax: (417) 466-4255

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $959.

Total Amount is formed as General ($959) + Research ($0) + Ownership ($0) = $959.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Lilly USA, LLC ($255).

Total Amount

$959

General + Research + Ownership

Payments

56

Total payment records

General Amount

$959

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

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: 2008-12-05

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
I20081205000103IFamily PracticeMOTBD

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 65712)

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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: 5092616276View full group profile
NameSpecialtyState
-MO
Family PracticeMO
Nurse PractitionerMO
Clinical PsychologistMO
Nurse PractitionerAR
-OK
Clinical Social WorkerMO
Family Practice, Internal MedicineMO
Nurse PractitionerAR
-MO

Reviews

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Frequently asked questions

Is there an official ID for WILLIAM LEWIS MCKAY (DO) in U.S. healthcare records?
The official identifier for WILLIAM LEWIS MCKAY (DO) is NPI 1265417331.
Is there an active status for WILLIAM LEWIS MCKAY (DO)?
For scheduling context, WILLIAM LEWIS MCKAY (DO) is shown as active in the registry.
What kind of doctor is WILLIAM LEWIS MCKAY (DO)?
WILLIAM LEWIS MCKAY (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is WILLIAM LEWIS MCKAY (DO) located near Mount Vernon?
WILLIAM LEWIS MCKAY (DO) currently maps to Mount Vernon, Missouri in this extract.
Can I trust this NPI listing for WILLIAM LEWIS MCKAY (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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