Owensboro Health Medical Group - Behavioral Health – Psychiatry Physician, NPI 1013353101
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Owensboro Health Medical Group - Behavioral Health
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-3772
Fax: (270) 417-3709
Type: Location
421 7th St
Tell City, IN 475862202
Phone: (812) 547-7448
Type: Location
PO BOX 23229
OWENSBORO, KY 423043229
Phone: (270) 688-1330
Fax: (270) 688-1338
Type: Mailing
2211 MAYFAIR DR
SUITE 409
OWENSBORO, KY 42301
Phone: (270) 417-7980
Fax: (270) 417-7989
Type: Location
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 |
|---|---|---|---|---|
| O20070501000435 | O | Clinic/Group Practice | IN | 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 42303)
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