Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tysen J Petre, DO

Individual provider Family Medicine Physician · NPI 1871642470

Tysen J Petre, DO is registered under Family Practice in Kirksville, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2004, 22 years ago. Practices with Macon County Samaritan Hospital, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2007
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.

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Practice location Address checks out

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone: (660) 665-7575
Fax: (660) 665-7576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1206 N Missouri St, Macon, MO 63552-2149 — (660) 395-7575

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2006004444 (MO)

Record details

NPI number1871642470
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2004 (22 years in practice)
Group practice Macon County Samaritan Hospital — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $154 4 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Macon County Samaritan Memorial Hospital Hospital · Macon, MO · listed as Macon County Samaritan Hospital
  • Northeast Regional Medical Center Hospital · Kirksville, MO · listed as Kirksville Missouri Hospital Company, LLC
  • University Of Missouri Health Care Hospital · Columbia, MO · listed as University of Mo Health Care
  • Boone Hospital Center Hospital · Columbia, MO
  • Moberly Regional Medical Center Hospital · Moberly, MO
  • Angels Care Home Health Home health agency · Moberly, MO
  • Elara Caring Home health agency · Jefferson City, MO

Colleagues at Macon County Samaritan Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 36 clinicians in the practice; 12 are shown here.

Other providers in Kirksville