MCPHERSON MEDICAL & DIAGNOSTIC, LLC
NPI 1073154019
Clinic/Center in Hayti, MO

Active since October 01, 2019CLIA 26D2007728 · Waiver

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mcpherson Medical & Diagnostic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCPHERSON MEDICAL & DIAGNOSTIC, LLC (NPI 1073154019), doing business as Hayti Medical & Diagnostic, is a healthcare organization registered as a clinic/center in Hayti, Missouri and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Timothy William Mcpherson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073154019
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMCPHERSON MEDICAL & DIAGNOSTIC, LLC
Location Address223 S 3RD STHayti, MO 63851-1617
Mailing AddressPo Box 12545Belfast, ME 04915-4016 · (573) 717-1072
Organization SubpartNo
Authorized OfficialTimothy William McphersonCeo · (573) 695-2181
Enumeration DateOctober 1, 2019
✔ NPI 1073154019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
223 S 3RD ST, Hayti, MO 63851

Other Names 1

Doing Business AsHayti Medical & Diagnostic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcpherson Medical & Diagnostic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Mcpherson Medical & Diagnostic, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner77
Family Practice12
Internal Medicine5
Obstetrics/Gynecology4
Clinical Social Worker2
General Surgery2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
12 other specialties12

Nearest to this location (20)

See all 116
Nurse Practitioner
NPI 1518565357
907 E REED ST
Hayti, MO 63851
(573) 359-3661
✔ PECOS✔ Accepts Medicare0.6 mi
Pain Management
NPI 1295761542
907 E REED ST
Hayti, MO 63851
(786) 774-7143
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1952774275
907 E REED ST
Hayti, MO 63851
(573) 359-3660
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1972610905
907 E REED ST
Hayti, MO 63851
(573) 359-3660
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1104574334
946 E REED ST
Hayti, MO 63851
(573) 359-1372
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1477660637
223 S 3RD ST
Hayti, MO 63851
(573) 559-3591
✔ PECOS✔ Accepts Medicare4.7 mi
Family Practice
NPI 1245264696
216 W MAIN ST
Steele, MO 63877
(573) 695-2181
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1104786185
216 W MAIN ST
Steele, MO 63877
(573) 695-2181
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1578458907
1231 1ST ST
Kennett, MO 63857
(314) 662-3495
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1720629561
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1780099598
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1871276667
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1013883297
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1205712262
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1124741715
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1801224407
211 TEACO RD
Kennett, MO 63857
(573) 888-0004
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1386315778
304 TEACO RD
Kennett, MO 63857
(573) 888-0001
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1104115153
1231 1ST ST SUITE 5
Kennett, MO 63857
(573) 888-8690
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1669562591
103 S MAIN ST STE 3
Kennett, MO 63857
(573) 840-0440
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1497497432
901 W COMMERCIAL ST
Kennett, MO 63857
(573) 717-1072
✔ PECOS✔ Accepts Medicare17 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2007728

Mcpherson Medical & Diagnostics, LLC · Kennett, MO
Active · expires May 24, 2028
CLIA Number26D2007728
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorTimothy Mcpherson
Laboratory Phone(573) 717-1072
Laboratory LocationMcpherson Medical & Diagnostics, LLC901 West Commercial Ave, Kennett, MO 63857
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcpherson Medical & Diagnostic, LLC's NPI number?

The NPI number for Mcpherson Medical & Diagnostic, LLC is 1073154019. It was assigned to this organization in the NPPES registry on October 1, 2019. The provider is doing business as Hayti Medical & Diagnostic.

Where is Mcpherson Medical & Diagnostic, LLC located?

Mcpherson Medical & Diagnostic, LLC is located at 223 S 3rd St, Hayti, MO 63851. The listed phone number is (573) 717-1072.

What is Mcpherson Medical & Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Mcpherson Medical & Diagnostic, LLC enrolled in Medicare?

Yes. Mcpherson Medical & Diagnostic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcpherson Medical & Diagnostic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 20 Medicare specialties reassign their Medicare billing to Mcpherson Medical & Diagnostic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (77), Family Practice (12) and Internal Medicine (5). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mcpherson Medical & Diagnostic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2007728) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcpherson Medical & Diagnostic, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mcpherson Medical & Diagnostic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mcpherson Medical & Diagnostic, LLC was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.