DR. KERRY GLEN JEPSEN (M.D.) – Orthopaedic Surgery Physician, NPI 1326073537
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
Provider Addresses for DR. KERRY GLEN JEPSEN (M.D.)
164 S 5th St
Montpelier, ID 832541557
Phone: (208) 847-4354
Fax: (208) 847-4425
Type: Location
100 MERCY WAY
JOPLIN, MO 648044524
Phone: (417) 556-8757
Type: Location
Bear Lake Memorial Hospital, 164, South 5th Street, Montpelier, Bear Lake County, Idaho, 83254, United States
MONTPELIER, ID 832541557
Phone: (208) 847-4354
Fax: (208) 847-4425
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,009.
Total Amount is formed as General ($1,009) + Research ($0) + Ownership ($0) = $1,009.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($860).
Total Amount
$1,009
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,009
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $860 |
| Stryker Corporation | $67 |
| Heron Therapeutics, Inc. | $66 |
| Active Medical, LLC | $16 |
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: 2025-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110131000058 | I | Orthopedic Surgery | ID | TBD |
| I20180628001076 | I | Orthopedic Surgery | MO | TBD |
| I20230320000800 | I | Orthopedic Surgery | IN | TBD |
| I20250416002562 | I | Orthopedic Surgery | UT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 209 | 143 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 86 | 64 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 86 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 70 | 70 | $0 |
| 20985 | Computer-assisted surgery for muscle and bone procedure | 17 | 14 | $0 |
Insurance plans in this area (ZIP 83254)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WA | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | UT | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Internal Medicine | ID | |
| Nurse Practitioner | ID | |
| Interventional Pain Management | UT |
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