DR. JUSTIN DAVID PUCKETT DO NPI 1205044146

NPI Information

  • NPI: 1205044146
  • Provider Name: DR. JUSTIN DAVID PUCKETT, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2004 N BALTIMORE ST STE A
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 665-7575

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NPI Details

DR. Justin David Puckett, DO is a family medicine in Kirksville, MO with 20 years of experience. The provider is 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. DR. Justin David Puckett, DO NPI is 1205044146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2006

The provider's business location address is:

2004 N BALTIMORE ST STE A
KIRKSVILLE, MO
ZIP 63501-107
Phone: (660) 665-7575
Fax: (660) 665-7576

The NPI 1205044146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Osteopathic manipulative treatment, 7-8 body regions (HCPCS:98928)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Vitamin d-3 level (HCPCS:82306)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Folic acid level, serum (HCPCS:82746)
  • Automated urinalysis test (HCPCS:81003)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Measurement of total estradiol (hormone) (HCPCS:82670)
  • Microsomal antibodies (autoantibody) measurement (HCPCS:86376)
  • Insulin measurement, total (HCPCS:83525)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Magnesium level (HCPCS:83735)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Osteopathic manipulative treatment, 3-4 body regions (HCPCS:98926)
  • Ferritin (blood protein) level (HCPCS:82728)

The enumeration date for this NPI number is 5/21/2007 and was last updated on 9/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2006017939MISSOURINo
2207Q00000XFamily Medicine2007018127MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209398502MEDICAIDMISSOURI
2MA1807001OTHERMISSOURIMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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