LARRY WAYNE KIPE (MD) – Family Medicine Physician, NPI 1396794046

LARRY WAYNE KIPE (MD) is a healthcare provider. based in Craig, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 28686 (CO). The NPI Number for LARRY WAYNE KIPE (MD) is 1396794046

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
LARRY WAYNE KIPE (MD)
NPI
1396794046
Phone
(970) 824-3252
Address
600 RUSSELL ST
Enumeration Date
9 May 2006
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9708249411
Graduation Year
1981 (45 years ago)
PAC ID
0648284539
Group Practice PAC ID
1254231533
Professional Enrollment ID
I20060131000109
Address ID
CO816258750CR750XXLOOP300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

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Provider Addresses for LARRY WAYNE KIPE (MD)

  • 600, Russell Street, Craig, Moffat County, Colorado, 81625, United States

    CRAIG, CO 816252018

    Phone: (970) 824-3252

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-01-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060131000109IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81625)

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Provider's Procedures

LARRY WAYNE KIPE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECO85610Blood test, clotting time20533

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254231533View full group profile
NameSpecialtyState
Physician AssistantCO
General SurgeryWI
Physician AssistantCO
-CO
-CO
Physician AssistantNV
Clinical Social WorkerCO
Family PracticeCO
-CO
Physician AssistantOK

Reviews

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Frequently asked questions

Can I verify LARRY WAYNE KIPE (MD) with an NPI only?
You can start verification with NPI 1396794046 for LARRY WAYNE KIPE (MD), then check state licensing separately.
Does CMS list LARRY WAYNE KIPE (MD) as active?
Yes — LARRY WAYNE KIPE (MD) is active in the NPI listing used on this page.
What taxonomy line describes LARRY WAYNE KIPE (MD)?
For research purposes, treat LARRY WAYNE KIPE (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does LARRY WAYNE KIPE (MD) list a practice location?
Patients near Craig, Colorado may find LARRY WAYNE KIPE (MD) in results; validate coverage separately.
Why does LARRY WAYNE KIPE (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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