JENNIE L GORHAM (DO) – Physical Medicine & Rehabilitation Physician, NPI 1730166257
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 PHYSICAL MEDICINE AND REHABILITATION in MO
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Provider Addresses for JENNIE L GORHAM (DO)
Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg
SPRINGFIELD, MO 658084046
Phone: (417) 269-5712
Type: Mailing
3555, South National Avenue, Springfield, Greene County, Missouri, 65807, United States
#302
SPRINGFIELD, MO 658077310
Phone: (417) 269-6868
Fax: (417) 269-6865
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: 2010-08-18
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 |
|---|---|---|---|---|
| I20100818000281 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 84 | 34 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 57 | 22 | $0 |
Insurance plans in this area (ZIP 65808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | KY | |
| Registered Dietitian Or Nutrition Professional | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
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