DR. BRIAN E. BASHAM (MD) – Family Medicine Physician, NPI 1376617274

DR. BRIAN E. BASHAM (MD) is a healthcare provider. based in Cassville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. R7P13 (MO). The NPI Number for DR. BRIAN E. BASHAM (MD) is 1376617274

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN E. BASHAM (MD)
NPI
1376617274
Phone
(417) 847-0057
Address
4016 Main St
Enumeration Date
20 November 2006
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4177672273
Graduation Year
1988 (38 years ago)
PAC ID
7719167543
Group Practice PAC ID
5597794552
Professional Enrollment ID
I20110210000423
Address ID
MO658044264SP1300XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. BRIAN E. BASHAM (MD)

  • 4016 Main St

    Cassville, MO 656259753

    Phone: (417) 847-0057

    Fax: (417) 847-0079

    Type: Location

  • 1059 Barton Dr

    Fordland, MO 656527350

    Phone: (417) 767-2273

    Type: Location

  • 1059 BARTON DR

    FORDLAND, MO 656527350

    Phone: (417) 767-2273

    Fax: (417) 767-4054

    Type: Mailing

  • 11863 State Highway 13

    Kimberling City, MO 656868362

    Phone: (417) 739-1995

    Type: Location

  • 1300 E BRADFORD PKWY

    SPRINGFIELD, MO 658044264

    Phone: (417) 767-2273

    Type: Location

  • Doniphan Drive, Neosho, Missouri, United States

    NEOSHO, MO 648509120

    Phone: (417) 451-9450

    Fax: (417) 451-8903

    Type: Mailing

  • Main Street, Cassville, Barry County, Missouri, 65625, United States

    CASSVILLE, MO 656259753

    Phone: (417) 847-0057

    Fax: (417) 847-0079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($77).

Total Amount

$130

General + Research + Ownership

Payments

7

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-02-10

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
I20110210000423IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level3218$0
82962Blood glucose (sugar) test performed by hand-held instrument3117$0
View full utilization report →

Insurance plans in this area (ZIP 65625)

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Provider's Procedures

DR. BRIAN E. BASHAM (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO81002Urinalysis, manual test2114
FAMILY MEDICINEMO83036Hemoglobin A1C level5630

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: 5597794552View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerWA
Emergency Medicine, Family PracticeMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Family PracticeMO
-MO
-MO

Reviews

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Frequently asked questions

How is DR. BRIAN E. BASHAM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. BRIAN E. BASHAM (MD) with NPI 1376617274.
Can I rely on DR. BRIAN E. BASHAM (MD) being an active provider?
As of the registry snapshot, DR. BRIAN E. BASHAM (MD) is marked active.
What is DR. BRIAN E. BASHAM (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. BRIAN E. BASHAM (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN E. BASHAM (MD) based?
DR. BRIAN E. BASHAM (MD) is tied to Cassville, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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