MARY YVONNE RAYBORN (MD) – Family Medicine Physician, NPI 1992865828

MARY YVONNE RAYBORN (MD) is a healthcare provider. based in Sioux center, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36126 (IA). The NPI Number for MARY YVONNE RAYBORN (MD) is 1992865828

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MARY YVONNE RAYBORN (MD)
NPI
1992865828
Phone
(712) 722-2609
Address
645 S Main Ave
Enumeration Date
11 December 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4172692278
Graduation Year
1990 (36 years ago)
PAC ID
8820028723
Group Practice PAC ID
5799787784
Professional Enrollment ID
I20220421001625
Address ID
MO655365303LE510XX32XX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for MARY YVONNE RAYBORN (MD)

  • 645 S Main Ave

    Sioux Center, IA 512501347

    Phone: (712) 722-2609

    Fax: (712) 722-8394

    Type: Location

  • Sioux Center Community Hospital, 1101, 9th Street Southeast, Sioux Center, Sioux County, Iowa, 51250, United States

    SIOUX CENTER, IA 512502501

    Phone: (712) 722-2609

    Fax: (712) 722-8394

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $811.

Total Amount is formed as General ($811) + Research ($0) + Ownership ($0) = $811.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$811

General + Research + Ownership

Payments

45

Total payment records

General Amount

$811

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-04-21

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
I20220421001625IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15383$0
36415Insertion of needle into vein for collection of blood sample13982$0
99215Established patient office or other outpatient visit, 40-54 minutes4126$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
G0008Administration of influenza virus vaccine2626$0
View full utilization report →

Insurance plans in this area (ZIP 51250)

Loading plans...

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: 5799787784View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MARY YVONNE RAYBORN (MD)?
Save NPI 1992865828 if you need a stable reference for MARY YVONNE RAYBORN (MD).
Does this profile mean MARY YVONNE RAYBORN (MD) is currently active?
Yes — MARY YVONNE RAYBORN (MD) appears active in the national provider directory.
What does MARY YVONNE RAYBORN (MD) treat or focus on?
Patients typically see MARY YVONNE RAYBORN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY YVONNE RAYBORN (MD)?
The page summarizes Sioux Center, Iowa for MARY YVONNE RAYBORN (MD); expand the address list for detail.
How can I contact MARY YVONNE RAYBORN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

ROY THOMAS SLICE (M.D.)

Family Medicine Physician
645, South Main Avenue, Sioux Center, Sioux County, Iowa, 51250, United States
NPI: 1922090778

DR. KELLY SCOTT POMERENKE (M.D.)

Family Medicine Physician
Hawarden Community Hospital, 1111, 11th Street, Hawarden, Sioux County, Iowa, 51023, United States
NPI: 1205826641

DELWYN LEE LASSEN (MD)

Family Medicine Physician
338, 1st Avenue Northwest, Sioux Center, Sioux County, Iowa, 51250, United States
NPI: 1558346015

RICHARD JONGEWAARD (MD)

Family Medicine Physician
645, South Main Avenue, Sioux Center, Sioux County, Iowa, 51250, United States
NPI: 1124188040

DALE NYSTROM (MD)

Family Medicine Physician
645, South Main Avenue, Sioux Center, Sioux County, Iowa, 51250, United States
NPI: 1528128444

GERALD L. VAN ES (MD)

Family Medicine Physician
645 S Main Ave
NPI: 1700946662

ROBERT CLEMENS (MD)

Family Medicine Physician
645 S Main Ave
NPI: 1689734576