FRED K UTHOFF – Family Medicine Physician, NPI 1639164965

FRED K UTHOFF is a healthcare provider. based in Sikeston, Missouri. specializing in INTERNAL MEDICINE. They hold a License No. 102137 (MO). The NPI Number for FRED K UTHOFF is 1639164965

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
FRED K UTHOFF
NPI
1639164965
Phone
(573) 472-7702
Address
1019 N MAIN ST
Enumeration Date
13 September 2005
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
7618902586
Group Practice PAC ID
3476679226
Professional Enrollment ID
I20050929000036
Address ID
MO638015021SI1102XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
futhoff@missouridelta.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,190 INTERNAL MEDICINE in MO

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Provider Addresses for FRED K UTHOFF

  • 1019, North Main Street, Sikeston, Scott County, Missouri, 63801, United States

    SIKESTON, MO 638015043

    Phone: (573) 472-7702

    Fax: (573) 472-7719

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $895.

Total Amount is formed as General ($895) + Research ($0) + Ownership ($0) = $895.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($303).

Total Amount

$895

General + Research + Ownership

Payments

50

Total payment records

General Amount

$895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-29

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
I20050929000036IInternal 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 minutes809136$0
99214Established patient office or other outpatient visit, 30-39 minutes382205$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes15745$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month12219$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10736$0
View full utilization report →

Insurance plans in this area (ZIP 63801)

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Provider's Procedures

FRED K UTHOFF performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO20610Aspiration and/or injection of large joint or joint capsule1914

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: 3476679226View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Neurosurgery, Pain ManagementMO
Nurse PractitionerMO
Nurse PractitionerOH
Nurse PractitionerMO
Orthopedic SurgeryMO
C H I R O P R A C T I CMD
Family PracticeMO
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What federal number belongs to FRED K UTHOFF?
The federal identifier for FRED K UTHOFF is NPI 1639164965.
Is FRED K UTHOFF active in the national directory?
FRED K UTHOFF's public NPI profile is in an active state.
What kind of provider is FRED K UTHOFF?
The page reflects Family Medicine Physician for FRED K UTHOFF. Clinical services aligned with this taxonomy classification.
What location shows for FRED K UTHOFF?
We surface Sikeston, Missouri for FRED K UTHOFF based on available NPPES addresses.
How can I contact FRED K UTHOFF?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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