KEVIN MICHEL MIDDLEMIST (D.O.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1740641851
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
144 SPORTS MEDICINE in MO
Provider Addresses for KEVIN MICHEL MIDDLEMIST (D.O.)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 651096023
Phone: (573) 635-8000
Fax: (573) 556-1710
Type: Location
719, New York Avenue, Holton, Jackson County, Kansas, 66436, United States
HOLTON, KS 664361743
Phone: (785) 969-7747
Type: Mailing
Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279020
Phone: (918) 631-8130
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $3,547.
Total Amount is formed as General ($3,547) + Research ($0) + Ownership ($0) = $3,547.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Stryker Corporation ($1,797).
Total Amount
$3,547
General + Research + Ownership
Payments
71
Total payment records
General Amount
$3,547
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,797 |
| Zimmer Biomet Holdings, Inc. | $611 |
| Kowa Pharmaceuticals America, Inc. | $212 |
| Elite Orthopedics, Llc | $175 |
| Elite Orthopedics, LLC | $154 |
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: 2022-08-09
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 |
|---|---|---|---|---|
| I20220809000675 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,084 | 87 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 157 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 100 | $0 |
| 73560 | X-ray of knee, 1-2 views | 84 | 35 | $0 |
Insurance plans in this area (ZIP 65109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neuropsychiatry, Neurology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Nurse Practitioner | MO |
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