DR. JOSEPH THEODORE CERNICH (M.D.) – Pediatrics Physician, NPI 1568412377
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
220 ENDOCRINOLOGY in MO
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Provider Addresses for DR. JOSEPH THEODORE CERNICH (M.D.)
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
ATTN PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Fax: (816) 302-9939
Type: Mailing
Children's Mercy Broadway Clinic, 3101, Broadway Boulevard, Union Hill, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641112659
Phone: (816) 302-3700
Fax: (816) 302-9939
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: PFIZER INC. ($40).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $40 |
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: 2005-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20040409000416 | I | Endocrinology | MO | 2023-12-31 |
| I20050906000345 | I | Endocrinology | KS | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Radiation Oncology | MO | |
| Pediatric Medicine | TX | |
| Anesthesiology, Cardiovascular Disease (Cardiology) | KS | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Urology, Pediatric Medicine | MO | |
| Diagnostic Radiology | MO | |
| Pediatric Medicine, Emergency Medicine | MO | |
| - | MO | |
| - | IA |
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