KELLY J HENDRICKS (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1043329147

KELLY J HENDRICKS (M.D.) is a healthcare provider. based in Overland park, Kansas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 04-30708 (KS). The NPI Number for KELLY J HENDRICKS (M.D.) is 1043329147

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KELLY J HENDRICKS (M.D.)
NPI
1043329147
Phone
(913) 345-6901
Address
5701 W 119TH ST STE 410
Enumeration Date
30 August 2006
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9133456901
Graduation Year
1997 (29 years ago)
PAC ID
6709852254
Group Practice PAC ID
1355535162
Professional Enrollment ID
I20100913000057
Address ID
KS662093721OV5701XSTXX404

Contacts

Secure Messaging
KELLY.HENDRICKS@hca2.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

324 ORTHOPEDIC SURGERY in KS

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Provider Addresses for KELLY J HENDRICKS (M.D.)

  • West 119th Street, Overland Park, Johnson County, Kansas, 66210, United States

    OVERLAND PARK, KS 662093721

    Phone: (913) 345-6901

    Fax: (913) 469-4095

    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 65 Open Payments records for all available years, with a total value of $51,060.

Total Amount is formed as General ($51,060) + Research ($0) + Ownership ($0) = $51,060.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($50,912).

Total Amount

$51,060

General + Research + Ownership

Payments

65

Total payment records

General Amount

$51,060

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

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: 2010-09-13

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
I20100913000057IOrthopedic SurgeryKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes188168$0
73562X-ray of knee, 3 views125115$0
73502X-ray of hip, 2-3 views108102$0
99203New patient office or other outpatient visit, 30-44 minutes9191$0
73564X-ray of knee, 4 or more views9090$0
View full utilization report →

Insurance plans in this area (ZIP 66209)

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Provider's Procedures

KELLY J HENDRICKS (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKS20610Aspiration and/or injection of large joint or joint capsule4942

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: 1355535162View full group profile
NameSpecialtyState
-MO
General Surgery, Colorectal Surgery (Proctology)TX
General Surgery, Colorectal Surgery (Proctology)MO
Nurse PractitionerMO
Nurse PractitionerKS
Orthopedic SurgeryMO
O B S T E T R I C S/ G Y N E C O L O G YKS
Physician AssistantWV
Physician AssistantKS
O B S T E T R I C S/ G Y N E C O L O G YKS

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Frequently asked questions

What NPI should I save for KELLY J HENDRICKS (M.D.)?
Save NPI 1043329147 if you need a stable reference for KELLY J HENDRICKS (M.D.).
Is KELLY J HENDRICKS (M.D.)'s NPI currently valid?
The extract we use shows KELLY J HENDRICKS (M.D.) as active.
What kind of provider is KELLY J HENDRICKS (M.D.)?
The page reflects Adult Reconstructive Orthopaedic Surgery Physician for KELLY J HENDRICKS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for KELLY J HENDRICKS (M.D.)?
We surface Overland Park, Kansas for KELLY J HENDRICKS (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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