WAYNE E PUTNAM (D.O.) – Diagnostic Radiology Physician, NPI 1275604621
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for WAYNE E PUTNAM (D.O.)
Mercy Hospital Carthage, 3125, Doctor Russell Smith Way, Carthage, Jasper County, Missouri, 64836, United States
CARTHAGE, MO 648367402
Phone: (417) 358-1244
Fax: (417) 358-7157
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 875-3000
Type: Mailing
525 Branson Landing Blvd
Branson, MO 656162052
Phone: (417) 375-7000
Type: Location
3801 S NATIONAL AVE
SPRINGFIELD, MO 658075210
Phone: (417) 875-3000
Type: Location
16236, Fir Road, Carthage, Jasper County, Missouri, 64836, United States
CARTHAGE, MO 648367443
Phone: (417) 358-1244
Fax: (417) 358-7157
Type: Mailing
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: 2023-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070803000390 | I | Diagnostic Radiology | MO | TBD |
| I20230117002444 | I | Diagnostic Radiology | KS | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 683 | 662 | $0 |
| 71045 | X-ray of chest, 1 view | 578 | 489 | $0 |
| 74018 | X-ray of abdomen, 1 view | 330 | 300 | $0 |
| 73502 | X-ray of hip, 2-3 views | 196 | 186 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 165 | 161 | $0 |
Insurance plans in this area (ZIP 64836)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | IL | |
| - | NC | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O T O L A R Y N G O L O G Y | WA | |
| N E P H R O L O G Y | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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