DR. SHERRY L. PHIPPEN-GESUALDI (MD) – Surgery Physician, NPI 1336298918
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for DR. SHERRY L. PHIPPEN-GESUALDI (MD)
1333 S Sam Houston Blvd Ste A
Houston, MO 654832046
Phone: (417) 967-1252
Fax: (417) 967-0417
Type: Location
1333 S SAM HOUSTON BLVD STE A
HOUSTON, MO 654832046
Phone: (417) 967-1252
Fax: (417) 967-0417
Type: Mailing
608 City Route 66
St. Robert, MO 65584
Phone: (573) 336-8990
Fax: (573) 336-8993
Type: Location
1422 S Sam Houston Blvd
Houston, MO 654832130
Phone: (417) 967-1252
Fax: (417) 967-0417
Type: Location
1605 Martin Springs Dr Ste 320
Rolla, MO 654012982
Phone: (573) 458-6365
Fax: (573) 458-6826
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Fax: (417) 829-4316
Type: Mailing
Route 66 Transmission Rebuilders, 116, Robert Avenue, Patch, St. Louis, Missouri, 63111, United States
ST. ROBERT, MO 65584
Phone: (573) 336-8990
Fax: (573) 336-8993
Type: Location
1333 S SAM HOUSTON BLVD STE C
HOUSTON, MO 654832046
Phone: (417) 967-1252
Fax: (417) 967-0417
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($41).
Total Amount
$120
General + Research + Ownership
Payments
5
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
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: 2004-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040715000540 | I | General Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 33 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 39 | 39 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 32 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | 26 | $0 |
Insurance plans in this area (ZIP 65483)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MO | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 14 | 14 |
| GENERAL SURGERY | MO | 45378 | Diagnostic examination of large bowel using an endoscope | 12 | 12 |
| GENERAL SURGERY | MO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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