Individual provider Active NPI

Byron Leonard Perkinson, M.D.

  • Family Medicine Physician
  • Nevada, MO
National Provider Identifier
1104854660
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023044254 Issued in MO
Practice address
900 S Adams St
Nevada, MO 64772-3210
Phone
(417) 667-6015
Fax
(417) 448-8970
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81270 MT
Family Medicine Physician 207Q00000X 72315 CA
Family Medicine Physician 207Q00000X 2023044254 MO Primary

Addresses

Primary practice location

900 S Adams St
Nevada, MO 64772-3210

Mailing address

800 S Ash St
Nevada, MO 64772-3224
Phone (417) 667-3355

Other identifiers 2

IdentifierTypeStateIssuer
00A723150MedicaidCA
P00698300OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231116003410 MO Practitioner - Family Practice 7113911553 Reassigns benefits to 1 organization
I20251110001123 IA Practitioner - Family Practice 7113911553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Sioux Valley Memorial Hospital AssociationGroup PAC ID 4880501881, 21 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

300 E Pine St
Marcus, IA 51035-7196
Phone (712) 376-4600

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

  • Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362
  • Cherokee Regional Medical Center Nursing home, CCN 16Z362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72315CAMDPharmacist
2023044254MOMDFamily Medicine Physician
81270MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Nevada City Hospital CurrentSince Nov 2, 2023 Accepting new patients
Nevada City Hospital CurrentSince Nov 2, 2023 Accepting new patients
Sioux Valley Memorial Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Sioux Valley Memorial Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Sioux Valley Memorial Hospital Association Family Medicine Past Accepting new patients

Locations

300 Sioux Valley Dr
Ste Crc
Cherokee, IA 51012

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Interoperability endpoints

  • Direct secure messaging: bperkinson1221257@direct.unitypoint.org
  • Direct secure messaging: perkinsonb@hghospital.gwaydirect.com
  • Direct secure messaging: byron.perkinson.p1@direct.smmg.nextgenshare.com
  • Direct secure messaging: perkinsonb@yourcarecommunity.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1104854660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723224",
            "telephone_number": "417-667-3355",
            "fax_number": "417-667-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6015",
            "fax_number": "417-448-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINSON",
        "first_name": "BYRON",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "81270",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "72315",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023044254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A723150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00698300",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.