DR. MUBASHIR KHAN (MD) – Gastroenterology Physician, NPI 1417990425
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
489 GASTROENTEROLOGY in MO
Provider Addresses for DR. MUBASHIR KHAN (MD)
2115 S Fremont Ave
Suite 3300
Springfield, MO 658042239
Phone: (417) 820-5200
Fax: (417) 820-7744
Type: Location
2708 S Rife Medical Ln Ste 300
Rogers, AR 727581457
Phone: (479) 338-3030
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658089007
Phone: (417) 875-3000
Type: Mailing
1001, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075155
Phone: (417) 875-3000
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 875-3000
Type: Mailing
3901 S FREMONT AVE
SPRINGFIELD, MO 658046538
Phone: (417) 875-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($76).
Total Amount
$119
General + Research + Ownership
Payments
6
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $76 |
| Intercept Pharmaceuticals, Inc. | $25 |
| Janssen Biotech, Inc. | $18 |
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: 2018-11-14
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 |
|---|---|---|---|---|
| I20090924000319 | I | Gastroenterology | MO | TBD |
| I20181114000366 | I | Gastroenterology | AR | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 166 | 166 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 93 | 93 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | 44 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 41 | 41 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 41 | 40 | $0 |
Insurance plans in this area (ZIP 65804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MO | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 70 | 69 |
| GASTROENTEROLOGY | MO | 45378 | Diagnostic examination of large bowel using an endoscope | 19 | 19 |
| GASTROENTEROLOGY | MO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 163 | 161 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| - | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Nurse Practitioner | MO |
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