DR. MINA K MASSEY (M.D.) – Family Medicine Physician, NPI 1578557872
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,332 FAMILY PRACTICE in MO
Provider Addresses for DR. MINA K MASSEY (M.D.)
16647 COUNTY ROAD 624
DEXTER, MO 638418982
Phone: (573) 776-4091
Type: Mailing
101 S Washington St
Oregon, MO 644739311
Phone: (660) 446-2090
Fax: (660) 446-2089
Type: Location
309 E Main St
Fairfax, MO 644469312
Phone: (660) 686-0263
Fax: (660) 686-0262
Type: Location
102 S 6th St
Tarkio, MO 644911513
Phone: (660) 736-4193
Fax: (660) 736-4966
Type: Location
26136 US HIGHWAY 59
FAIRFAX, MO 644469105
Phone: (660) 686-2211
Fax: (660) 686-2618
Type: Location
SoutheastHEALTH Center of Stoddard County, 1200, North One Mile Road, Dexter, Stoddard County, Missouri, 63841, United States
DEXTER, MO 638411000
Phone: (573) 624-5566
Fax: (573) 614-9446
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Organon LLC ($196).
Total Amount
$215
General + Research + Ownership
Payments
3
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $196 |
| Hologic Sales and Service, LLC | $19 |
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: 2005-05-31
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 |
|---|---|---|---|---|
| I20050531000073 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Family Practice | MO |
Reviews
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