ANDREW KETTNER – Family Medicine Physician, NPI 1164089660
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 ANDREW KETTNER
University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States
WICHITA, KS 672143124
Phone: (316) 293-2665
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 53 Open Payments records for all available years, with a total value of $1,132.
Total Amount is formed as General ($1,132) + Research ($0) + Ownership ($0) = $1,132.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($253).
Total Amount
$1,132
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $253 |
| Novo Nordisk Inc | $140 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $109 |
| Grifols USA, LLC | $72 |
| Dexcom, Inc. | $59 |
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: 2022-03-22
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 |
|---|---|---|---|---|
| I20220322002933 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 527 | 241 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 360 | 234 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 356 | 231 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 262 | 201 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 223 | 169 | $0 |
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| - | KS | |
| Internal Medicine, Emergency Medicine | KS | |
| Family Practice | KS |
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