KAYLEEN BETH HORNBROOK (DO) – Family Medicine Physician, NPI 1396706362
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for KAYLEEN BETH HORNBROOK (DO)
Southwest State Street, Ankeny, Polk County, Iowa, 50023-7235, United States
SUITE 200
ANKENY, IA 500237079
Phone: (515) 964-6999
Fax: (515) 964-6970
Type: Mailing
1360 NW 18TH ST STE 102
ANKENY, IA 500239105
Phone: (515) 875-9730
Fax: (515) 875-9731
Type: Location
PO BOX 424
DES MOINES, IA 503020424
Phone: (515) 875-9925
Fax: (515) 875-9923
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ABBVIE INC. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $31 |
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: 2005-03-01
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 |
|---|---|---|---|---|
| I20050301000342 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 348 | 183 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 127 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 171 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 117 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 118 | 118 | $0 |
Insurance plans in this area (ZIP 50023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| P O D I A T R Y | IA | |
| Internal Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| Family Practice | IA | |
| Orthopedic Surgery | MO | |
| Internal Medicine | IA | |
| Family Practice | IA |
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