MYLHAN MYERS (DO) – Family Medicine Physician, NPI 1639699747

MYLHAN MYERS (DO) is a healthcare provider. based in Rolla, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 2020029485 (MO). The NPI Number for MYLHAN MYERS (DO) is 1639699747

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MYLHAN MYERS (DO)
NPI
1639699747
Phone
(573) 364-9352
Address
604 W 6th St Ste A
Enumeration Date
21 June 2017
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733649000
Graduation Year
2017 (9 years ago)
PAC ID
5890067441
Group Practice PAC ID
2860391158
Professional Enrollment ID
I20201001000867
Address ID
MO654012905RO1050XSTXX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for MYLHAN MYERS (DO)

  • 604 W 6th St Ste A

    Rolla, MO 654012968

    Phone: (573) 364-9352

    Fax: (844) 689-7577

    Type: Location

  • 1050 W 10TH ST

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Type: Mailing

  • 1423 N Jefferson Ave # B100

    Springfield, MO 658021917

    Phone: (417) 269-8817

    Fax: (417) 269-8744

    Type: Location

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Fax: (573) 341-5611

    Type: Location

  • 1050 W 10th St

    Rolla, MO 654012905

    Phone: (573) 364-9000

    Fax: (573) 202-2484

    Type: Location

  • 1000 Gw Ln

    Waynesville, MO 655832339

    Phone: (573) 774-2715

    Fax: (573) 202-2410

    Type: Location

  • 603 S Bishop Ave

    Rolla, MO 654014314

    Phone: (573) 426-4411

    Fax: (573) 426-4403

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641802843

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • North Jefferson Avenue, Springfield, Greene County, Missouri, 65801, United States

    SPRINGFIELD, MO 658021917

    Phone: (417) 269-8817

    Fax: (417) 269-8744

    Type: Location

  • 604 W 6TH ST STE A

    ROLLA, MO 654012968

    Phone: (573) 364-9352

    Fax: (844) 689-7577

    Type: Mailing

  • 1000 W 10TH ST

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Type: Location

  • 600 BLUES LAKE PKWY

    ROLLA, MO 654018022

    Phone: (573) 364-8822

    Fax: (573) 202-2402

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $750.

Total Amount is formed as General ($750) + Research ($0) + Ownership ($0) = $750.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Novo Nordisk Inc ($191).

Total Amount

$750

General + Research + Ownership

Payments

37

Total payment records

General Amount

$750

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2020-10-01

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
I20201001000867IFamily 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 65401)

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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: 2860391158View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
Internal MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
-MO
Internal MedicineIL
Hospitalist, Internal MedicineAR
Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What is the registry number for MYLHAN MYERS (DO)?
The registry entry for MYLHAN MYERS (DO) shows NPI 1639699747.
Does the public listing show MYLHAN MYERS (DO) as active?
MYLHAN MYERS (DO)'s NPI record reflects an active status in NPPES.
What does the directory say MYLHAN MYERS (DO) does?
Insurance directories may phrase it differently, but here MYLHAN MYERS (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MYLHAN MYERS (DO) tied to Rolla, Missouri?
If you are local to Rolla, Missouri, MYLHAN MYERS (DO) may be relevant to your search.
Can I export MYLHAN MYERS (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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