KATHRYN C RENNER (MD) – Obstetrics & Gynecology Physician, NPI 1699121897

KATHRYN C RENNER (MD) is a healthcare provider. based in Shiloh, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2016023953 (MO). The NPI Number for KATHRYN C RENNER (MD) is 1699121897

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN C RENNER (MD)
NPI
1699121897
Phone
(618) 641-9011
Address
1116 HARTMAN LANE
Enumeration Date
6 May 2016
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6186419011
Graduation Year
2016 (10 years ago)
PAC ID
0143517144
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20200731001823
Address ID
IL622218014SH1116XLNXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
krenner295487@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:10State licenses:2Other names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for KATHRYN C RENNER (MD)

  • 1116 HARTMAN LANE

    SHILOH, IL 62221

    Phone: (618) 641-9011

    Type: Location

  • 1414 CROSS ST STE 240

    SHILOH, IL 622692988

    Phone: (618) 234-2390

    Fax: (618) 234-9936

    Type: Location

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    ST. MARY'S HEALTH CENTER

    SAINT LOUIS, MO 631171811

    Phone: (314) 768-8000

    Type: Mailing

  • 1116 HARTMAN LN

    SHILOH, IL 622218014

    Phone: (618) 641-9011

    Fax: (618) 641-9017

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $966.

Total Amount is formed as General ($966) + Research ($0) + Ownership ($0) = $966.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($127).

Total Amount

$966

General + Research + Ownership

Payments

50

Total payment records

General Amount

$966

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-31

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
I20200731001823IObstetrics/GynecologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination6161$0
99214Established patient office or other outpatient visit, 30-39 minutes5944$0
99213Established patient office or other outpatient visit, 20-29 minutes4732$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3030$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62221)

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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: 5092857821View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KATHRYN C RENNER (MD) in U.S. healthcare records?
The official identifier for KATHRYN C RENNER (MD) is NPI 1699121897.
Is KATHRYN C RENNER (MD) shown as active in public data?
Registry records indicate KATHRYN C RENNER (MD) maintains an active NPI.
How would a patient describe KATHRYN C RENNER (MD)'s focus?
For KATHRYN C RENNER (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHRYN C RENNER (MD)?
Directory geography for KATHRYN C RENNER (MD) centers on Shiloh, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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