BRENT MICHAEL DUDENHOEFFER MD
NPI 1952033722
Family Medicine in Fulton, MO

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
2613 FAIRWAY DR, FULTON, MO 65251(573) 642-1990(573) 642-5089 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Michael Dudenhoeffer Md NPPES

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

BRENT MICHAEL DUDENHOEFFER MD (NPI 1952033722) is an individual family medicine provider in Fulton, Missouri, licensed in Missouri (2025016128) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of University Of Missouri, Columbia School Of Medicine (2022).

NPPES Registry Identity

NPI1952033722
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRENT MICHAEL DUDENHOEFFERCredential: MD
Location Address2613 FAIRWAY DRFulton, MO 65251-4030
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 642-5089
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2022
Enumeration DateJune 29, 2022
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1952033722 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 · 2025016128
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.
2613 FAIRWAY DR, Fulton, MO 65251

Accepted 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

Brent Michael Dudenhoeffer 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 ID3173903515
PECOS Enrollment IDI20250710002704
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.

Hospital Affiliations CMS Care Compare

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65251 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 13

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

Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Specialist
2613 FAIRWAY DR, SUITE D
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR, SUITE C
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Physician Assistant
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Internal Medicine
2613 FAIRWAY DR
FULTON, MO 65251

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 Brent Dudenhoeffer's NPI number?

The NPI number for Brent Dudenhoeffer is 1952033722. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Brent Dudenhoeffer located?

Brent Dudenhoeffer practices at 2613 Fairway Dr, Fulton, MO 65251. The listed phone number is (573) 642-1990.

What is Brent Dudenhoeffer's specialty?

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

Is Brent Dudenhoeffer enrolled in Medicare?

Yes. Brent Dudenhoeffer 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 Brent Dudenhoeffer accept?

Health plans from Anthem Blue Cross and Blue Shield list Brent Dudenhoeffer 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.

Is Brent Dudenhoeffer affiliated with any hospitals?

According to CMS data, Brent Dudenhoeffer is affiliated with University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Brent Dudenhoeffer was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.