KIM K COUNTRYMAN (D.O.) – Family Medicine Physician, NPI 1750382347

Family Medicine Physician

KIM K COUNTRYMAN (D.O.) is a healthcare provider. based in Waukee, Iowa. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. DO-02312 (IA). The NPI Number for KIM K COUNTRYMAN (D.O.) is 1750382347

Main info

Female

Sole Proprietor

39 Years Of Experience

Accepts Medicare Assignment

Name

KIM K COUNTRYMAN (D.O.)

NPI

1750382347

Phone

(515) 875-9890

Address

120 NE DARTMOOR DR

Enumeration Date

3 August 2005

Deactivation Date

22 March 2006

Reactivation Date

27 March 2006

Last Update Date

19 October 2022

Doctor Profile

Medical School Name

DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES

Secondary Phone

5158759100

Graduation Year

1987 (39 years ago)

PAC ID

6608775804

Group Practice PAC ID

4082513742

Professional Enrollment ID

I20040214000225

Contacts

Secure Messaging

kimcountryman@tic.allscriptsdirect.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for KIM K COUNTRYMAN (D.O.)

NE Dartmoor Drive, Waukee, Dallas County, Iowa, 50263, United States
WAUKEE, IA 50263
Phone: (515) 875-9890
Fax: (515) 875-9892
Type: Location
7147 VISTA DR STE 150
WEST DES MOINES, IA 502669313
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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50263)

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Provider's Procedures

KIM K COUNTRYMAN (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	IA	83036	Hemoglobin A1C level	164	96

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: 4082513742View full group profile

Name	Specialty	State
NEETHA MOLAKALA (M.D.)	Family Practice	IA
MARGARET ROSEMARY LAMPAREK (ARNP)	Nurse Practitioner	IA
ERIC REESE (DPM)	P O D I A T R Y	IA
KEVIN JAMES CUNNINGHAM (M.D.)	Internal Medicine	IA
DR. ABBIE D RUISCH (DO)	Family Practice	IA
DR. BARBARA HODNE (DO)	-	IA
DR. WILLIAM H SCHUPP (MD)	Family Practice	IA
DR. CHRISTOPHER KIM (B.SC., M.D.)	Orthopedic Surgery	MO
DR. SEAN D CUNNINGHAM (M.D.)	Internal Medicine	IA
DR. STEPHANIE M STITT COX (MD)	Family Practice	IA