MISS TAYLOR KING (DO) – Pediatrics Physician, NPI 1104387513
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS TAYLOR KING (DO)
3824, Andrea Street, Dubuque, Dubuque County, Iowa, 52002, United States
DUBUQUE, IA 520022660
Phone: (563) 543-7306
Type: Mailing
3731 IRISH DR
MARION, IA 523026638
Phone: (319) 206-7370
Fax: (319) 206-7380
Type: Mailing
8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263548
Phone: (414) 955-4583
Type: Location
PO BOX 31235
TUCSON, AZ 857511235
Phone: (520) 324-2684
Fax: (520) 324-1406
Type: Mailing
1500 N WILMOT RD STE B250
TUCSON, AZ 857124416
Phone: (520) 324-7840
Fax: (520) 324-7839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $390.
Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: HemoSonics LLC ($200).
Total Amount
$390
General + Research + Ownership
Payments
13
Total payment records
General Amount
$390
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HemoSonics LLC | $200 |
| Merck Sharp & Dohme LLC | $46 |
| Cranial Technologies, Inc | $43 |
| IDORSIA PHARMACEUTICALS US INC | $32 |
| SANOFI PASTEUR 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: 2024-07-11
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 |
|---|---|---|---|---|
| I20240711002954 | I | Pediatric Medicine | IA | 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 52002)
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