Individual provider Active NPI

Nicholas Comstock, DO

  • Family Medicine Physician
  • Kirksville, MO
National Provider Identifier
1568032712
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023006982 Issued in MO
Practice address
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone
(660) 785-1000
NPI assigned
Jun 30, 2021
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023006982 MO Primary
Family Medicine Physician 207Q00000X TEMPORARY MO

Addresses

Primary practice location

315 S Osteopathy Ave
Kirksville, MO 63501-6401

Mailing address

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

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
I20230315002151 MO Practitioner - Family Practice 8224402102 Reassigns benefits to 7 organizations
I20240311002229 IA Practitioner - Family Practice 8224402102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Ripley Emergency Group LLCGroup PAC ID 1254757446, 35 clinicians
Scotland County Memorial HospitalGroup PAC ID 8224940366, shared by 6 NPIs, 32 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023006982MOMDFamily Medicine Physician
TEMPORARYMOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Memorial Hospital CurrentSince Nov 3, 2023 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Sullivan County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Scotland County Memorial Hospital Family Medicine Current Accepting new patients
Davis County Hospital CurrentSince Mar 1, 2024 Accepting new patients
Macon County Samaritan Hospital CurrentSince Mar 15, 2023 Accepting new patients
Scotland County Memorial Hospital Family Medicine CurrentSince Apr 7, 2024 Accepting new patients
Scotland County Memorial Hospital Family Medicine CurrentSince Apr 7, 2024 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Nov 3, 2023 Accepting new patients
Ripley Emergency Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Davis County Hospital CurrentSince Mar 1, 2024 Accepting new patients
Clarke County Public Hospital Family Medicine Past Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

55682 State Highway 6
Ste A
Edina, MO 63537
Phone (660) 460-8140

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste C
Memphis, MO 63555

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f
  • Direct secure messaging: ncomstock1049262@direct.unitypoint.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1568032712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "NICHOLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023006982",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "TEMPORARY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.