DR. KATIE ELLEN DIAS (D.O.) – Family Medicine Physician, NPI 1497998744
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DR. KATIE ELLEN DIAS (D.O.)
202, East Main Street, Stanberry, Cooper Township, Gentry County, Missouri, 64489, United States
STANBERRY, MO 644891358
Phone: (660) 783-2192
Type: Location
PO BOX 187
16 W 4TH
GRANT CITY, MO 64456
Phone: (660) 564-3322
Fax: (660) 564-3324
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2011-08-02
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 |
|---|---|---|---|---|
| I20110802000823 | 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 |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 298 | 298 | $0 |
| G0008 | Administration of influenza virus vaccine | 273 | 272 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 236 | 236 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 216 | 215 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 195 | 192 | $0 |
Insurance plans in this area (ZIP 64489)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | MO | |
| H O S P I T A L I S T | AR | |
| Emergency Medicine | KS | |
| Internal Medicine, Hospitalist | MO | |
| Emergency Medicine | WI |
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