NPIMap

Individual provider Active NPI

Timothy William McPherson, D.O.

  • Family Medicine Physician
  • Steele, MO
National Provider Identifier
1245264696
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9E31 Issued in MO
Practice address
216 W Main St
Steele, MO 63877-1436
Phone
(573) 695-2181
Fax
(573) 695-2796
NPI assigned
Jul 10, 2006
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9E31 MO Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000001 MO Practitioner - Family Practice 8123927308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9E31MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Steele Family Rural Health Clinic, LLC Family Medicine PastSince Jan 1, 2006 Accepting new patients
Scott City Medical Clinic LLC PastSince Nov 11, 2023 Accepting new patients
NHC Healthcare-Kennett 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

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

901 W Commercial St
Kennett, MO 63857
Phone (573) 695-2181

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

  • Direct secure messaging: tmcpherson@mmadl-mo.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A & M Medical & DiagnosticKennett, MO, CCN 793865 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 ClinicSteele, MO, CCN 793864 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

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1245264696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638771436",
            "telephone_number": "573-695-2181",
            "fax_number": "573-695-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638771436",
            "telephone_number": "573-695-2181",
            "fax_number": "573-695-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9E31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steele, MO

Sources for this page

Verify at the official NPI Registry.