PHILLIP W PITNEY (MD) – Family Medicine Physician, NPI 1528068574

Family Medicine Physician

PHILLIP W PITNEY (MD) is a healthcare provider. based in Louisiana, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 34602 (MO). The NPI Number for PHILLIP W PITNEY (MD) is 1528068574

Main info

Male

54 Years Of Experience

Accepts Medicare Assignment

Name

PHILLIP W PITNEY (MD)

NPI

1528068574

Phone

(573) 754-5555

Address

211 S 3RD ST

Enumeration Date

29 July 2005

Last Update Date

7 March 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5737544582

Graduation Year

1972 (54 years ago)

PAC ID

7618040932

Group Practice PAC ID

1254236300

Professional Enrollment ID

I20100120000499

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

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Provider Addresses for PHILLIP W PITNEY (MD)

211, South 3rd Street, Monroe, Ouachita Parish, Louisiana, 71201, United States
LOUISIANA, MO 633532000
Phone: (573) 754-5555
Fax: (573) 754-4077
Type: Mailing
8 Town Center Dr
Bowling Green, MO 633342803
Phone: (573) 324-2241
Fax: (573) 324-9864
Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63353)

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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: 1254236300View full group profile

Name	Specialty	State
LACOSTA KAY GAINES (DNP, APRN, FNP-C)	Nurse Practitioner	MO
MELISSA L REYNOLDS	Nurse Practitioner	MO
MARY J. CRAWFORD (D.O.)	Family Practice	MO
DR. JOHN PAUL GREVING (DO)	Internal Medicine	MO
DR. KAROL EDWARD ROSNER (M.D.)	Nephrology, Internal Medicine, Nephrology, Internal Medicine	IL
BROOKE APRIL SPRAGUE (FNP-C)	Nurse Practitioner	MO
DR. VICTOR ANTHONY MAALOUF (D.O.)	Emergency Medicine	MO
WHITNEY JEAN ROLLER (MSN, FNP-C)	Nurse Practitioner	MO
NI JIN (M.D.)	P A T H O L O G Y	MO
SANTHISRI KODALI (MD)	Internal Medicine, Cardiovascular Disease (Cardiology)	MO