DR. JERRI DAWN ROBERTSON (D.O.) – Family Medicine Physician, NPI 1407070816
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JERRI DAWN ROBERTSON (D.O.)
3460 S CLARK ST
MEXICO, MO 652654124
Phone: (573) 581-9630
Type: Mailing
901 KIDWELL DR
VERSAILLES, MO 650841784
Phone: (573) 378-4666
Fax: (573) 378-5099
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2023-05-23 • Largest payer in this snapshot: ABBVIE INC. ($68).
Total Amount
$189
General + Research + Ownership
Payments
12
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $68 |
| AstraZeneca Pharmaceuticals LP | $28 |
| Amgen Inc. | $21 |
| PFIZER INC. | $15 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $14 |
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: 2009-08-07
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 |
|---|---|---|---|---|
| I20090807000404 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 154 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 90 | $0 |
| 98928 | Osteopathic manipulative treatment, 7-8 body regions | 44 | 17 | $0 |
| 98927 | Osteopathic manipulative treatment, 5-6 body regions | 19 | 12 | $0 |
Insurance plans in this area (ZIP 65265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| - | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists), Internal Medicine | MO | |
| - | MO |
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