DR. KENNETH J FATTMANN (MD) – Psychiatry Physician, NPI 1922129170
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for DR. KENNETH J FATTMANN (MD)
4480 Gretna Rd
Branson, MO 656167202
Phone: (417) 761-5492
Type: Location
1300 E BRADFORD PKWY
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5065
Type: Mailing
840 Passover Rd
Osage Beach, MO 65065
Phone: (573) 302-0319
Type: Location
1805 E Walnut St
Columbia, MO 652016425
Phone: (573) 777-7500
Type: Location
800 S Park Ave
Springfield, MO 658024855
Phone: (417) 893-7735
Type: Location
17844 E 23rd St S
Independence, MO 640571840
Phone: (816) 254-3652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,293.
Total Amount is formed as General ($1,293) + Research ($0) + Ownership ($0) = $1,293.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($440).
Total Amount
$1,293
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-02-10
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 |
|---|---|---|---|---|
| I20090210000299 | I | Psychiatry | 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 65616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Psychiatry, Neuropsychiatry | MO | |
| - | TX | |
| - | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| Clinical Psychologist | MO | |
| Clinical Psychologist | MO |
Reviews
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