KURT A MADDOCK (MD) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1740253707
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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NPPES metrics only — not quality of care.
7 UNDERSEA AND HYPERBARIC MEDICINE in IN
Provider Addresses for KURT A MADDOCK (MD)
520 S 7th St
Vincennes, IN 475911038
Phone: (812) 885-3627
Fax: (812) 885-3019
Type: Location
315 S 13th St
Herrin, IL 629483661
Phone: (618) 988-6157
Fax: (618) 942-2210
Type: Location
2 S HOSPITAL DR
MURPHYSBORO, IL 629663333
Phone: (618) 684-1035
Fax: (618) 684-1036
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
Good Samaritan Hospital, 520, South 7th Street, Vincennes, Knox County, Indiana, 47591, United States
VINCENNES, IN 475911038
Phone: (812) 885-3627
Fax: (812) 885-3019
Type: Location
Hawthorne Place, Columbia, Monroe County, Illinois, 62236, United States
COLUMBIA, IL 622361030
Phone: (812) 881-6205
Type: Mailing
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: 2018-05-15
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 |
|---|---|---|---|---|
| I20180515001899 | I | Undersea And Hyperbaric Medicine | IL | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 195 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 141 | 71 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 141 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 47591)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| U R O L O G Y | IL |
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