DR. KENNETH BRUERE MAYBURY (M.D.) – Internal Medicine Physician, NPI 1295733459
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for DR. KENNETH BRUERE MAYBURY (M.D.)
2250 HAYES ST STE 504
SAN FRANCISCO, CA 941171078
Phone: (415) 422-0998
Fax: (415) 422-0903
Type: Location
1, Shrader Street, Haight-Ashbury, San Francisco, California, 94117, United States
SUITE 570
SAN FRANCISCO, CA 941171016
Phone: (415) 422-0998
Fax: (415) 422-0903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 248 Open Payments records for all available years, with a total value of $4,907.
Total Amount is formed as General ($4,907) + Research ($0) + Ownership ($0) = $4,907.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($470).
Total Amount
$4,907
General + Research + Ownership
Payments
248
Total payment records
General Amount
$4,907
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $470 |
| ABBVIE INC. | $462 |
| Lilly USA, LLC | $370 |
| Sumitomo Pharma America, Inc. | $350 |
| Lundbeck LLC | $289 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081201000734 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 570 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 171 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 102 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 109 | 109 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
Insurance plans in this area (ZIP 94117)
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