TYSEN J PETRE (D.O.) – Family Medicine Physician, NPI 1871642470
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,332 FAMILY PRACTICE in MO
Provider Addresses for TYSEN J PETRE (D.O.)
1206 N Missouri St
Macon, MO 635522149
Phone: (660) 395-7575
Fax: (660) 665-7576
Type: Location
1611 S BALTIMORE ST
KIRKSVILLE, MO 635014518
Phone: (660) 665-7575
Fax: (660) 665-7576
Type: Mailing
Kirksville College of Osteopathic Medicine (KCOM), 800, West Jefferson Street, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635011443
Phone: (660) 665-4432
Fax: (660) 956-4392
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $316.
Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($77).
Total Amount
$316
General + Research + Ownership
Payments
19
Total payment records
General Amount
$316
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $77 |
| Exact Sciences Corporation | $67 |
| ABBVIE INC. | $61 |
| Novo Nordisk Inc | $34 |
| Dexcom, Inc. | $22 |
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: 2007-03-12
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 |
|---|---|---|---|---|
| I20070312000033 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63552)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Nephrology, Internal Medicine, Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| P A T H O L O G Y | MO | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO |
Reviews
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