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DR. SAMUEL O FADARE JR. MD
NPI 1184685802
Psychiatry & Neurology - Psychiatry in Gladstone, MO

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
5604 NE ANTIOCH RD, GLADSTONE, MO 64119(660) 372-1313(660) 372-1339 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, Aug 24, 2022, Dec 8, 2020 and 8 more (11 updates tracked since 2017).

About Dr. Samuel O Fadare Jr. Md NPPES

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

DR. SAMUEL O FADARE JR. MD (NPI 1184685802) is an individual psychiatry provider in Gladstone, Missouri, licensed in Missouri (103939) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1184685802
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SAMUEL O FADARE JR.Credential: MD
Location Address5604 NE ANTIOCH RDGladstone, MO 64119-2327
Mailing Address1513 Union Ave Ste 2500Moberly, MO 65270-9412 · (660) 372-1313 · Fax (660) 372-1339
Phone(660) 372-1313
Fax(660) 372-1339
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 6, 202211 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1184685802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MO · 103939✔ Licensed in KS · 04-24672✔ Licensed in MI · 4301063006✔ Licensed in GA · 90387✔ Licensed in FL · ME157175
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5604 NE ANTIOCH RD, Gladstone, MO 64119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel O Fadare Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012914997
PECOS Enrollment IDI20090211000649
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.52 typical visit price
range $55.29 – $168.52
Typical copayment $42.13 (range $13.82 – $42.13)
Most-billed visit code 99205
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOY NNEKA EKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (660) 372-1313
SAMUEL O FADARE, MD, PA
Clinic/Center (Adult Mental Health)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (660) 372-1313
MADISON NICOLE BURNETT
Behavior Analyst
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (816) 533-5057
DR. GERALD E WALTON D.D.S.
Dentist (General Practice)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (816) 453-9600

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 Samuel Fadare's NPI number?

The NPI number for Samuel Fadare is 1184685802. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Samuel Fadare located?

Samuel Fadare practices at 5604 NE Antioch Rd, Gladstone, MO 64119. The listed phone number is (660) 372-1313.

What is Samuel Fadare's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Fadare enrolled in Medicare?

Yes. Samuel Fadare is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Fadare accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Samuel Fadare 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 Samuel Fadare was last updated on October 6, 2022. 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.