James S. Denninghoff, M.D.
NPI 1033104005ActiveIndividual· Otolaryngology· Columbia, MO
Opted out of Medicare from July 2024 to July 2028. Otolaryngology (M.D.) in Columbia, Missouri, licensed in MO, with an NPI issued in September 2005. In 2024 Medicare paid $22,023 for 187 patients, and Part D covered 259 of their prescriptions, 58% of them generic.
Overview
| NPI | 1033104005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 15, 2005 |
| Last updated in NPPES | May 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 36275 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2024 – Jul 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 187 |
|---|---|
| Services billed | 3,042 across 20 procedure codes |
| Paid by Medicare | $22,023 |
Part D prescriptions in 2024
| Prescriptions (claims) | 259 · 418 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $14,489 |
| Generic share | 58% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 47 otolaryngologists in Columbia · All otolaryngologists in Missouri