DR. JUAN CARLOS SALAZAR (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1922041995

DR. JUAN CARLOS SALAZAR (M.D.) is a healthcare provider. based in Poplar bluff, Missouri. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 2000174358 (MO). The NPI Number for DR. JUAN CARLOS SALAZAR (M.D.) is 1922041995

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN CARLOS SALAZAR (M.D.)
NPI
1922041995
Phone
(573) 686-2127
Address
5716 LAKE SHORE DR
Enumeration Date
14 June 2006
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078238421
Graduation Year
1993 (33 years ago)
PAC ID
5395800932
Group Practice PAC ID
1456518612
Professional Enrollment ID
I20151228000645
Address ID
FL328073536OR1400XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for DR. JUAN CARLOS SALAZAR (M.D.)

  • 5716 LAKE SHORE DR

    POPLAR BLUFF, MO 639019648

    Phone: (573) 686-2127

    Fax: (573) 778-4156

    Type: Mailing

  • 1140 HERSCHEL BESS BLVD

    POPLAR BLUFF, MO 639013075

    Phone: (573) 686-1200

    Fax: (573) 686-1029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,670.

Total Amount is formed as General ($1,670) + Research ($0) + Ownership ($0) = $1,670.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($541).

Total Amount

$1,670

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090216000454IPsychiatryMOTBD
I20151228000645IPsychiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes23770$0
99213Established patient office or other outpatient visit, 20-29 minutes7240$0
90833Psychotherapy with evaluation and management visit, 30 minutes6540$0
90792Psychiatric diagnostic evaluation with medical services2424$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456518612View full group profile
NameSpecialtyState
Clinical PsychologistPR
P S Y C H I A T R YFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

How is DR. JUAN CARLOS SALAZAR (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JUAN CARLOS SALAZAR (M.D.) with NPI 1922041995.
Does the file indicate DR. JUAN CARLOS SALAZAR (M.D.) is practicing under active NPI?
Directory data currently reports DR. JUAN CARLOS SALAZAR (M.D.) as active.
What taxonomy line describes DR. JUAN CARLOS SALAZAR (M.D.)?
For research purposes, treat DR. JUAN CARLOS SALAZAR (M.D.) as Child & Adolescent Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JUAN CARLOS SALAZAR (M.D.) on a map?
Expect Poplar Bluff, Missouri as a primary anchor for DR. JUAN CARLOS SALAZAR (M.D.) unless the record lists multiple sites.
Is the information about DR. JUAN CARLOS SALAZAR (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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