DWAYNE NATHAN DAMBA DO
NPI 1194777193
Family Medicine in Farmington, MO

Q: What is Dwayne Damba's NPI number?

The NPI number for Dwayne Damba is 1194777193. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Dwayne Damba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dwayne Damba was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

1212 WEBER RD, FARMINGTON, MO 63640(573) 701-7215(573) 701-7117 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dwayne Nathan Damba Do NPPES

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

DWAYNE NATHAN DAMBA DO (NPI 1194777193) is an individual family medicine provider in Farmington, Missouri, licensed in Missouri (113439) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Parkland Health Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1997).

NPPES Registry Identity

NPI1194777193

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDWAYNE NATHAN DAMBACredential: DO

Location Address1212 WEBER RDFarmington, MO 63640-3325

Mailing Address16 Mahogany RunFarmington, MO 63640-7785 · (573) 366-1077 · Fax (573) 701-7117

Phone(573) 701-7215

Fax(573) 701-7117

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1997

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 9, 2013

✔ NPI 1194777193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 113439

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 113439 (MO)

1212 WEBER RD, Farmington, MO 63640

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Other Identifiers 3

Medicaid244893913MO

Medicare PIN947630094MO

Medicare UPINH13678MO

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

Dwayne Nathan Damba Do 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 ID749279131

PECOS Enrollment IDI20040511000247

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

220 services214 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

67 services66 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

64 services61 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health Center

Acute Care Hospitals · Farmington, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260163

Location1101 W LibertyFarmington, MO 63640 · St. Francois County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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 20

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

RICHARD C DORE' RN, CRNA

Nurse Anesthetist, Certified Registered