MR. MARK KEVIN PEEBLES (PA-C) – Physician Assistant, NPI 1275743841
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for MR. MARK KEVIN PEEBLES (PA-C)
1337 S Sam Houston Blvd
Houston, MO 654832046
Phone: (417) 967-5435
Fax: (417) 967-5503
Type: Location
1312 N Highway 5
Ava, MO 65608
Phone: (417) 683-4045
Type: Location
418, West Steel Street, Seymour, Webster County, Missouri, 65746, United States
SEYMOUR, MO 657468832
Phone: (417) 935-2239
Type: Mailing
RR 62 BOX 235
MANSFIELD, MO 657049505
Phone: (417) 543-6703
Type: Mailing
608 NW 7TH ST
POCAHONTAS, IA 505741000
Phone: (800) 453-3030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($89).
Total Amount
$450
General + Research + Ownership
Payments
25
Total payment records
General Amount
$450
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-24
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 |
|---|---|---|---|---|
| I20110726000899 | I | Physician Assistant | MO | TBD |
| I20250924002214 | I | Physician Assistant | IA | 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 65483)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Nurse Practitioner | IA | |
| D E R M A T O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | IA | |
| Family Practice | IA | |
| Family Practice | MN | |
| Emergency Medicine | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
Reviews
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