Poplar Bluff Urology – Urology Physician, NPI 1326116468
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Poplar Bluff Urology
3201 SW 34TH ST STE F
OCALA, FL 344747439
Phone: (352) 398-4276
Fax: (352) 291-0087
Type: Location
2400, Lucy Lee Parkway, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639012427
Phone: (573) 609-2266
Fax: (573) 785-0974
Type: Mailing
121 COVESHIRE PL
MADISON, AL 357583150
Phone: (352) 398-4276
Fax: (352) 291-0087
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-07-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150916002679 | O | Clinic/Group Practice | MO | TBD |
| O20240705002980 | O | Clinic/Group Practice | FL | 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 34474)
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