DR. MARLA R ULLOM-MINNICH (M.D.) – Family Medicine Physician, NPI 1073518999
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
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Provider Addresses for DR. MARLA R ULLOM-MINNICH (M.D.)
200, East Pack Street, Moundridge, McPherson County, Kansas, 67107, United States
MOUNDRIDGE, KS 671070640
Phone: (620) 345-6322
Fax: (620) 345-3038
Type: Mailing
East Pack Street, Moundridge, McPherson County, Kansas, 67107, United States
MOUNDRIDGE, KS 67107
Phone: (620) 345-6322
Fax: (620) 345-3038
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Amgen Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
2
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $28 |
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: 2009-11-25
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 |
|---|---|---|---|---|
| I20091125000256 | I | Family Practice | KS | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,620 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 696 | 254 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 519 | 230 | $0 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 236 | 93 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 206 | 206 | $0 |
Insurance plans in this area (ZIP 67107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KS | 17003 | Destruction of 2-14 skin growths | 32 | 12 |
| FAMILY MEDICINE | KS | 82270 | Stool analysis for blood to screen for colon tumors | 11 | 11 |
| FAMILY MEDICINE | KS | 90670 | Pneumococcal vaccine for injection into muscle | 21 | 21 |
| FAMILY MEDICINE | KS | 92552 | Pure tone air conduction threshold hearing assessment | 136 | 136 |
| FAMILY MEDICINE | KS | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 24 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS |
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