DR. JACKIE BEENE (MD) – Family Medicine Physician, NPI 1841296548
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DR. JACKIE BEENE (MD)
1540, East Evergreen Street, Doling Park, Springfield, Greene County, Missouri, 65803, United States
SPRINGFIELD, MO 658034300
Phone: (417) 823-2900
Fax: (417) 886-2774
Type: Mailing
327 E Airport Dr
Carthage, MO 648363402
Phone: (417) 237-0604
Fax: (417) 237-0613
Type: Location
112 N Webb St
Webb City, MO 648701916
Phone: (417) 673-0366
Fax: (417) 673-0093
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 101 Open Payments records for all available years, with a total value of $1,552.
Total Amount is formed as General ($1,552) + Research ($0) + Ownership ($0) = $1,552.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($366).
Total Amount
$1,552
General + Research + Ownership
Payments
101
Total payment records
General Amount
$1,552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $366 |
| PFIZER INC. | $138 |
| Amgen Inc. | $132 |
| Lilly USA, LLC | $115 |
| Neurocrine BioSciences Inc. | $113 |
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: 2004-03-23
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 |
|---|---|---|---|---|
| I20040323001705 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 16 | 16 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 65803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Geriatric Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Clinical Social Worker | MO | |
| - | OK | |
| Geriatric Medicine, Family Practice | MO | |
| Clinical Social Worker | MO | |
| - | MO |
Reviews
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