ANDREW S HENTZEN (MD) – Surgery Physician, NPI 1306007430
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for ANDREW S HENTZEN (MD)
3243 E MURDOCK ST STE 404
WICHITA, KS 672083007
Phone: (316) 685-6222
Type: Location
4404, East Murdock Street, Overlook, Wichita, Sedgwick County, Kansas, 67208, United States
WICHITA, KS 672083052
Phone: (316) 685-6222
Type: Location
550 N Hillside St
Wichita, KS 672144910
Phone: (316) 685-6222
Type: Location
9300 E 29th St N Ste 203
Wichita, KS 672262183
Phone: (316) 685-6222
Type: Location
404, East Murdock Street, Wichita, Sedgwick County, Kansas, 67214, United States
WICHITA, KS 672083007
Phone: (316) 685-6222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $351.
Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($153).
Total Amount
$351
General + Research + Ownership
Payments
12
Total payment records
General Amount
$351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-09-04
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 |
|---|---|---|---|---|
| I20140904002659 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 327 | 150 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 219 | 22 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 139 | 84 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 100 | 97 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 76 | 76 | $0 |
Insurance plans in this area (ZIP 67208)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| General Surgery | KS | |
| General Surgery, Critical Care (Intensivists) | KS | |
| General Surgery | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| General Surgery | KS | |
| Physician Assistant | KS | |
| Physician Assistant | MO |
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