MRS. AMANDA W DETAR (DO) – Emergency Medicine Physician, NPI 1396944294
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for MRS. AMANDA W DETAR (DO)
Mercy Hospital Lebanon, 100, Hospital Drive, Lebanon, Laclede County, Missouri, 65536, United States
LEBANON, MO 655369210
Phone: (417) 533-6100
Type: Mailing
3799, Ridgedale Road, Ridgedale, Taney County, Missouri, 65739, United States
SUITE 1
RIDGEDALE, MO 65739
Phone: (417) 334-1936
Fax: (417) 334-3055
Type: Location
1130 E 32ND ST
JOPLIN, MO 648044034
Phone: (417) 347-2273
Fax: (417) 347-2277
Type: Location
PO BOX 3810
JOPLIN, MO 648033810
Phone: (417) 347-4662
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-08-28
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 |
|---|---|---|---|---|
| I20090316000597 | I | Emergency Medicine | MO | TBD |
| I20230828003791 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 88 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 53 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 29 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 26 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 65536)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| R H E U M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.