Doctor profile · Federal record

Dr. Bryan Cannon, MD

Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Wildwood, MO

  • NPI 1265662068
  • Accepts Medicare
  • 17 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
16555 Manchester RD, Suite 100
Wildwood, MO 630401220
(636) 458-0646

Credentials & registration

NPPES · NUCC
NPI registered
July 2009 — 17 yrs on file
Profile last updated
February 8, 2017
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
Missouri #2016016732 · Nebraska #6038
Medicaid
MO #1265662068

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265662068. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
289
Distinct HCPCS
7
Medicare allowed
$28,857
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 128 68 $125
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 70 70 $128
99213 Established patient office or other outpatient visit, 20-29 minutes 24 24 $89
83036 Hemoglobin a1c level 21 15 $10
81003 Automated urinalysis test 17 13 $2
G0008 Administration of influenza virus vaccine 15 15 $30
90662 Influenza vaccine split virus, preservative free 14 14 $71

In context: peer comparison

Among 1 peers in this city , average services per provider: 41. This provider delivers 7.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$295
Transactions
7
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Koya Medical, Inc. 1 $167.29
Novo Nordisk Inc 4 $76.31
Rhythm Pharmaceuticals, Inc. 1 $28.62
Lilly USA, LLC 1 $22.41

By nature of payment

Food and Beverage
$295

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,437
Patients
420
Total drug cost
$16,723
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 207 65 $2,103
Levothyroxine Sodium Generic 161 40 $2,912
Lisinopril Generic 114 35 $682
Amlodipine Besylate Generic 112 35 $707
Rosuvastatin Calcium Generic 111 36 $1,827
Losartan Potassium Generic 109 33 $1,321
Omeprazole Generic 82 31 $1,272
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 80 19 $1,033
Alprazolam Generic 74 18 $485
Tramadol Hcl Generic 74 11 $619

Frequently asked questions

Auto-generated from federal data
What is Dr. Bryan Cannon's medical specialty?
Dr. Bryan Cannon practices Family Medicine Physician in Wildwood, MO.
Where does Dr. Bryan Cannon practice?
Dr. Bryan Cannon practices at 16555 Manchester RD, Wildwood, MO 630401220. Office phone: 6364580646.
What is Dr. Bryan Cannon's NPI?
Dr. Bryan Cannon's National Provider Identifier (NPI) is 1265662068, issued by NPPES.
Does Dr. Bryan Cannon accept Medicare assignment?
Yes. Dr. Bryan Cannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Bryan Cannon commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.