MR. ROBERT L HALTERMAN (D.O.) – Gynecology Physician, NPI 1881638013
Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. ROBERT L HALTERMAN (D.O.)
4320 Wornall Rd Ste 336
Kansas City, MO 641115963
Phone: (816) 932-6100
Fax: (816) 932-1786
Type: Location
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (573) 341-5611
Type: Location
901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States
MAILSTOP 400N
KANSAS CITY, MO 641319712
Phone: (816) 502-8752
Fax: (816) 932-9670
Type: Mailing
Johnson Regional Medical Center, 1100, East Poplar Street, Clarksville, Johnson County, Arkansas, 72830, United States
STE A
CLARKSVILLE, AR 728304419
Phone: (479) 754-5337
Fax: (479) 754-5348
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.
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: 2022-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050817000240 | I | Obstetrics/Gynecology | MO | TBD |
| I20110302000420 | I | Obstetrics/Gynecology | FL | TBD |
| I20220719001483 | I | Obstetrics/Gynecology | AR | 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 64111)
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