KENNETH JOHN JR. HARTMAN (MD) – Surgery Physician, NPI 1366407322
Surgery Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
377 GENERAL SURGERY in IA
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Provider Addresses for KENNETH JOHN JR. HARTMAN (MD)
1228, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States
STE 3020
DAVENPORT, IA 52803
Phone: (563) 823-9300
Fax: (563) 823-9330
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)
CMS reports 20 Open Payments records for all available years, with a total value of $2,511.
Total Amount is formed as General ($2,511) + Research ($0) + Ownership ($0) = $2,511.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,877).
Total Amount
$2,511
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,511
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,877 |
| Ethicon US, LLC | $634 |
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: 2006-07-11
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 |
|---|---|---|---|---|
| I20060711000003 | I | General Surgery | IA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 41 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 25 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 13 | $0 |
Insurance plans in this area (ZIP 52803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| - | IA | |
| Emergency Medicine, Internal Medicine | IA | |
| - | IA | |
| Hospitalist, Interventional Pain Management, Family Practice | IA | |
| - | IA | |
| Family Practice, Emergency Medicine | IA | |
| General Surgery | IL |
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