Physician Services of Missouri LLC
NPI 1164792032 · Family Medicine Physician · Kirksville, MO
Enrolled with Medicare as Part B Supplier - Centralized Flu Biller · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physician Services of Missouri LLC is a Family Medicine Physician organization in Kirksville, MO (NPI 1164792032).
Provider details
- NPI number
- 1164792032
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vaxcare Corporation
- Organization subpart
- Yes
- Authorized official
- Casey Deloach, Manager(888) 829-8550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-01-09
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Physician Services of Missouri LLC's NPI number?
- Physician Services of Missouri LLC's National Provider Identifier (NPI) is 1164792032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Services of Missouri LLC?
- Physician Services of Missouri LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Physician Services of Missouri LLC located?
- Physician Services of Missouri LLC's practice location on file with NPPES is 1611 S Baltimore St, Kirksville, MO 63501-4536.
- What is Physician Services of Missouri LLC's phone number?
- The practice phone number listed in the NPPES registry for Physician Services of Missouri LLC is (859) 514-5547.
- Does Physician Services of Missouri LLC accept Medicare?
- Physician Services of Missouri LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Physician Services of Missouri LLC?
- The authorized official listed on Physician Services of Missouri LLC's NPPES record is Casey Deloach, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Services of Missouri LLC's NPI active?
- Yes — Physician Services of Missouri LLC's NPI (1164792032) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.