CLINTON LEE HARRIS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1417940321
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
158 PAIN MANAGEMENT in MO
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Provider Addresses for CLINTON LEE HARRIS (MD)
1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651096023
Phone: (573) 556-1706
Fax: (573) 556-5728
Type: Location
PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone: (573) 635-5264
Fax: (573) 556-5757
Type: Mailing
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 $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Medtronic, Inc. ($68).
Total Amount
$219
General + Research + Ownership
Payments
11
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $68 |
| Abbott Laboratories | $49 |
| Regeneron Healthcare Solutions, Inc. | $49 |
| Grifols USA, LLC | $26 |
| Novo Nordisk 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: 2015-05-08
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 |
|---|---|---|---|---|
| I20150508001859 | I | Pain Management | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,160 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 440 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 414 | 271 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 135 | 107 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 121 | 121 | $0 |
Insurance plans in this area (ZIP 65109)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Neuropsychiatry, Neurology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Nurse Practitioner | MO |
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