MCPHERSON MEDICAL & DIAGNOSTIC, LLC
NPI 1124679774
Family Medicine in Kennett, MO
About Mcpherson Medical & Diagnostic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCPHERSON MEDICAL & DIAGNOSTIC, LLC (NPI 1124679774) is a healthcare organization registered as a family medicine in Kennett, Missouri and active in the NPI registry since September 2019. The organization lists Amelia Doris Ledbetter, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Mcpherson Medical & Diagnostic, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 116Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1124679774. It was assigned to this organization in the NPPES registry on September 25, 2019.
Where is Mcpherson Medical & Diagnostic, LLC located?
Mcpherson Medical & Diagnostic, LLC is located at 304 Teaco Rd Ste A, Kennett, MO 63857. The listed phone number is (573) 717-1072.
What is Mcpherson Medical & Diagnostic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 7 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mcpherson Medical & Diagnostic, Llc · NPI 1124679774
Family Medicine organization in Kennett, Missouri. Organization record, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1124679774 (Entity type: Organization)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amelia Ledbetter, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 304 TEACO RD STE A, Kennett, MO 63857-3268
- **Phone:** (573) 717-1072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 116 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (77), Family Practice (12), Internal Medicine (5); 7 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1124679774/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124679774) · Data from the CMS NPPES public registry.