COREY MICHAEL WHITESIDES (P.A.-C) – Medical Physician Assistant, NPI 1689019614
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for COREY MICHAEL WHITESIDES (P.A.-C)
2790 CLAY EDWARDS DR
STE 600
KANSAS CITY, MO 641163276
Phone: (816) 561-3003
Fax: (816) 889-1584
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 250 Open Payments records for all available years, with a total value of $6,003.
Total Amount is formed as General ($6,003) + Research ($0) + Ownership ($0) = $6,003.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,532).
Total Amount
$6,003
General + Research + Ownership
Payments
250
Total payment records
General Amount
$6,003
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,532 |
| ABBVIE INC. | $954 |
| Novartis Pharmaceuticals Corporation | $878 |
| E.R. Squibb & Sons, L.L.C. | $825 |
| Lilly USA, LLC | $389 |
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: 2013-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130801000827 | I | Physician Assistant | 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 64116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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