DR. DAVID V PULLIAM (D.O.) – Family Medicine Physician, NPI 1417915372

DR. DAVID V PULLIAM (D.O.) is a healthcare provider. based in Higginsville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 36038 (MO). The NPI Number for DR. DAVID V PULLIAM (D.O.) is 1417915372

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID V PULLIAM (D.O.)
NPI
1417915372
Phone
(660) 747-7751
Address
1200 W 22ND ST
Enumeration Date
2 May 2006
Last Update Date
9 November 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6605847751
Graduation Year
1978 (48 years ago)
PAC ID
0345375184
Group Practice PAC ID
4183904865
Professional Enrollment ID
I20100329000178
Address ID
MO640371420HI1200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. DAVID V PULLIAM (D.O.)

  • West 22nd Street, Higginsville, Lafayette County, Missouri, 64037, United States

    HIGGINSVILLE, MO 640371420

    Phone: (660) 747-7751

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Novo Nordisk Inc ($52).

Total Amount

$198

General + Research + Ownership

Payments

11

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2010-03-29

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
I20100329000178IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64037)

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Provider's Procedures

DR. DAVID V PULLIAM (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO85610Blood test, clotting time11527

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: 4183904865View full group profile
NameSpecialtyState
-MO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO

Reviews

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Frequently asked questions

How do payers reference DR. DAVID V PULLIAM (D.O.)?
For DR. DAVID V PULLIAM (D.O.), use NPI 1417915372 as the unique 10-digit identifier.
Is there an active status for DR. DAVID V PULLIAM (D.O.)?
For scheduling context, DR. DAVID V PULLIAM (D.O.) is shown as active in the registry.
What kind of doctor is DR. DAVID V PULLIAM (D.O.)?
DR. DAVID V PULLIAM (D.O.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. DAVID V PULLIAM (D.O.) registered?
Use Higginsville, Missouri as the headline location for DR. DAVID V PULLIAM (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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