Timothy William McPherson, D.O.
Individual provider Active NPI Family Medicine Physician · Steele, MO
NPI 1245264696 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1245264696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R9E31 (MO)
- Practice address
- 216 W Main St
Steele, MO 63877-1436 - Phone
- (573) 695-2181
- Fax
- (573) 695-2796
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McPherson Medical and Diagnostic LLC
Practice addresses (Care Compare)
2102 Main St
Scott City, MO 63780-1337
Phone (573) 264-0042
216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181
223 S 3Rd St
Hayti, MO 63851-1617
Phone (573) 717-1072
304 Teaco Rd
Suite a
Kennett, MO 63857-3268
Phone (573) 717-1072
3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286
901 W Commercial St
Kennett, MO 63857-1100
Phone (573) 717-1072
Hospital & facility affiliations
- Visiting Nurse Association of Southeast Missouri, Inc
- Vna Hospice
- Piggott Community Hospital
- Great River Medical Center
- Pemiscot County Memorial Hospital
- Baptist Memorial Hospital Jonesboro, Inc.
- Saint Francis Medical Center
- NHC Healthcare, Kennett
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| A & M Medical & Diagnostic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer Corporate Director W-2 Managing Employee |
May 1, 2017 May 1, 2017 May 1, 2017 May 1, 2017 |
| Steele Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer Corporate Director W-2 Managing Employee |
May 1, 2017 May 1, 2017 May 1, 2017 May 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040715000001 | MO | Practitioner - Family Practice | 8123927308 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9E31 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Family Medicine | Current |
Accepting new patients |
| McPherson Medical & Diagnostic, LLC | Family Medicine | Current |
Accepting new patients |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| NHC Healthcare-Kennett LLC | Past | Accepting new patients | |
| Steele Family Rural Health Clinic, LLC | Family Medicine | Past |
Accepting new patients |
| Scott City Medical Clinic LLC | Past |
Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
3071 S Grand Ave
Carthage, MO 64836
Phone (417) 310-9286
223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019
901 W Commercial St
Kennett, MO 63857
Phone (573) 695-2181
304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591
1207 N Douglass St
Malden, MO 63863
Phone (573) 276-3884
216 W Main St
Steele, MO 63877
Phone (573) 695-2181
216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181
Interoperability endpoints
- tmcpherson@mmadl-mo.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R9E31 | MO | Yes |
Addresses
Primary practice location
216 W Main St
Steele, MO 63877-1436
Mailing address
216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181
Other providers in Steele, MO
- Jayla R Mayberry
- Burl Lynn McKenzie
- McPherson Medical & Diagnostic LLC
- McPherson Medical & Diagnostic, LLC
- McPherson Medical & Diagnostic, LLC
- Pemiscot County Memorial Hospital
- Pemiscot County Memorial Hospital
- Tammy S Phillips
- Procare Medical, Inc
- QCS Counseling
All providers in Steele, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.