GREGORY II HAVERMALE (D.O.) – Family Medicine Physician, NPI 1386026706
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,332 FAMILY PRACTICE in MO
Provider Addresses for GREGORY II HAVERMALE (D.O.)
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 730-6430
Fax: (417) 269-7567
Type: Mailing
1150 STATE HIGHWAY 248 STE 202
BRANSON, MO 656163729
Phone: (417) 335-2299
Type: Location
612 N 11TH ST
QUINCY, IL 623012662
Phone: (217) 224-9484
Type: Mailing
3555 S National Ave
Springfield, MO 658077310
Phone: (417) 875-3800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2019-08-20
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 |
|---|---|---|---|---|
| I20190820000171 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| C H I R O P R A C T I C | KS | |
| Family Practice | NC | |
| Nurse Practitioner | AZ | |
| Family Practice | MO | |
| Physician Assistant | MD | |
| N E U R O L O G Y | MO | |
| C H I R O P R A C T I C | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Orthopedic Surgery | VA |
Reviews
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