DR. MELISSA C ALTOM (MD) – Family Medicine Physician, NPI 1588677991

DR. MELISSA C ALTOM (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 112771 (MO). The NPI Number for DR. MELISSA C ALTOM (MD) is 1588677991

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA C ALTOM (MD)
NPI
1588677991
Phone
(417) 730-6430
Address
PO BOX 802843
Enumeration Date
15 August 2006
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
4173541580
Graduation Year
1997 (29 years ago)
PAC ID
9234212192
Group Practice PAC ID
0345236667
Professional Enrollment ID
I20080305000366
Address ID
MO657088258MO1000X60XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. MELISSA C ALTOM (MD)

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 106 COMMERCE DR

    AURORA, MO 656056260

    Phone: (417) 269-2400

    Fax: (417) 269-2410

    Type: Location

  • 3800, South National Avenue, Springfield, Greene County, Missouri, 65804-3705, United States

    STE. 540

    SPRINGFIELD, MO 658075209

    Phone: (417) 236-2600

    Fax: (417) 236-2619

    Type: Mailing

  • East Cleveland Avenue, Monett, Barry County, Missouri, 65708, United States

    MONETT, MO 657086149

    Phone: (417) 236-2600

    Fax: (417) 236-2619

    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: 2008-02-15

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
I20080215000147IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64180)

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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: 0345236667View full group profile
NameSpecialtyState
-MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
-MO
Family PracticeMO
Hospitalist, Family Practice, Family PracticeNE
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What federal number belongs to DR. MELISSA C ALTOM (MD)?
The federal identifier for DR. MELISSA C ALTOM (MD) is NPI 1588677991.
Is DR. MELISSA C ALTOM (MD) active in the national directory?
DR. MELISSA C ALTOM (MD)'s public NPI profile is in an active state.
Can you summarize DR. MELISSA C ALTOM (MD)'s specialty in plain language?
Clinically, the directory lists DR. MELISSA C ALTOM (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MELISSA C ALTOM (MD)?
The snapshot lists Kansas City, Missouri for DR. MELISSA C ALTOM (MD); download NPPES for the complete set.
What if Kansas City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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