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NPI 1972288207ActiveIndividual· Otolaryngology· Columbia, MO

Otolaryngology in Columbia, Missouri, licensed in MO, with an NPI issued in June 2023. Part D covered 75 prescriptions written in 2024, 96% of them generic. Integra Lifesciences Corporation was the largest of 2 companies reporting payments in 2025, $193.12 in all, mostly food and beverage.

Overview

NPI1972288207
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 15, 2023
Last updated in NPPESJun 15, 2023
Certified by providerJun 15, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Otolaryngology Primary207Y00000X2023022769MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)75 · 99 30-day fills
Patients40
Total drug cost$3,040
Generic share96% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$193.12 · 2 payments from 2 companies
  • 2024$33.22 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$193.12 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other otolaryngologists in Columbia

All 47 otolaryngologists in Columbia · All otolaryngologists in Missouri