Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Michel Middlemist, DO

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1740641851

Kevin Michel Middlemist, DO is a Sports Medicine in Jefferson City, Missouri. Graduated from Rocky Vista University College of Osteopathic Med in 2016, 10 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
MO
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 635-8000
Fax: (573) 556-1710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 2022031059 (MO)

Record details

NPI number1740641851
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 16, 2016
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address1241 W Stadium Blvd, Jefferson City, MO 65109-6023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount