MICHAEL KINKADE – Family Medicine Physician, NPI 1588774889
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 MICHAEL KINKADE
1605 E BROADWAY STE 110
COLUMBIA, MO 652018023
Phone: (573) 815-8130
Fax: (573) 815-8149
Type: Mailing
240, Pickering Street, Montgomery City, Montgomery County, Missouri, 63361, United States
MONTGOMERY CITY, MO 633611941
Phone: (573) 564-2101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($29).
Total Amount
$119
General + Research + Ownership
Payments
5
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-20
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 |
|---|---|---|---|---|
| I20040220000297 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 655 | 348 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 288 | 288 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| G0008 | Administration of influenza virus vaccine | 62 | 62 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 61 | 61 | $0 |
Insurance plans in this area (ZIP 65201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Physical Therapist In Private Practice | MO | |
| - | WI | |
| Infectious Disease, Hospitalist, Internal Medicine | NM | |
| Internal Medicine, Hospitalist | MO | |
| - | MO |
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