DALLAS GARRISON DO
NPI 1750067138
Family Medicine in Fayette, MO

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment
308 S CHURCH ST, FAYETTE, MO 65248(660) 248-2217(660) 248-3450 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dallas Garrison Do NPPES

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

DALLAS GARRISON DO (NPI 1750067138) is an individual family medicine provider in Fayette, Missouri, licensed in Missouri (2023024599) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2023).

NPPES Registry Identity

NPI1750067138
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDALLAS GARRISONCredential: DO
Location Address308 S CHURCH STFayette, MO 65248-1243
Mailing Address1 Hospital DrColumbia, MO 65201-5276 · (573) 884-2912
Fax(660) 248-3450
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2023
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1750067138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2023024599
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.
308 S CHURCH ST, Fayette, MO 65248

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dallas Garrison 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 ID5890154421
PECOS Enrollment IDI20260707002178
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.

Medicare Billing Reassignment

Medicare enrollment records show Dallas Garrison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1100
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Jefferson City Medical Group PC
  • 155 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65248 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 17

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

Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Pharmacist (Ambulatory Care)
308 S CHURCH ST
FAYETTE, MO 65248
Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Family Medicine
308 S CHURCH ST
FAYETTE, MO 65248
Nurse Practitioner
308 S CHURCH ST
FAYETTE, MO 65248

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 Dallas Garrison's NPI number?

The NPI number for Dallas Garrison is 1750067138. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Dallas Garrison located?

Dallas Garrison practices at 308 S Church St, Fayette, MO 65248. The listed phone number is (660) 248-2217.

What is Dallas Garrison's specialty?

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

Is Dallas Garrison enrolled in Medicare?

Yes. Dallas Garrison 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.

Which organization bills Medicare for Dallas Garrison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Garrison reassigns Medicare benefits to Jefferson City Medical Group, P.C. (Jefferson City, MO). The 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 Dallas Garrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dallas Garrison accept?

Health plans from Anthem Blue Cross and Blue Shield list Dallas Garrison 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 Dallas Garrison was last updated on June 22, 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.