DR. ANDREW JOEL REVELLE (D.O) – Hospitalist Physician, NPI 1528314275

DR. ANDREW JOEL REVELLE (D.O) is a healthcare provider. based in Osage beach, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. ED0312A (WV). The NPI Number for DR. ANDREW JOEL REVELLE (D.O) is 1528314275

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW JOEL REVELLE (D.O)
NPI
1528314275
Phone
Not provided
Address
PO BOX 1500
Enumeration Date
31 July 2012
Last Update Date
27 June 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5733488045
Graduation Year
2012 (14 years ago)
PAC ID
0244465490
Group Practice PAC ID
9133026776
Professional Enrollment ID
I20150612001273
Address ID
MO650653050OS54XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for DR. ANDREW JOEL REVELLE (D.O)

  • PO BOX 1500

    OSAGE BEACH, MO 650651500

    Phone:

    Type: Mailing

  • 54 HOSPITAL DR

    OSAGE BEACH, MO 650653050

    Phone: (573) 302-2287

    Fax: (573) 302-2241

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-12

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
I20150612001273IInternal MedicineMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes438222$0
99239Hospital discharge day management, more than 30 minutes189182$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11980$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9491$0
99238Hospital discharge day management, 30 minutes or less8482$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 9133026776View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
N E U R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Can I verify DR. ANDREW JOEL REVELLE (D.O) with an NPI only?
You can start verification with NPI 1528314275 for DR. ANDREW JOEL REVELLE (D.O), then check state licensing separately.
Is DR. ANDREW JOEL REVELLE (D.O) listed as active for patients and plans?
The listing shows DR. ANDREW JOEL REVELLE (D.O) as active in the NPI system.
What is DR. ANDREW JOEL REVELLE (D.O)'s specialty?
The listing groups DR. ANDREW JOEL REVELLE (D.O) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ANDREW JOEL REVELLE (D.O) based?
DR. ANDREW JOEL REVELLE (D.O) is tied to Osage Beach, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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