DR. COURTNEY IVERSON HATHAWAY (MD) – Family Medicine Physician, NPI 1326484130

DR. COURTNEY IVERSON HATHAWAY (MD) is a healthcare provider. based in Gardner, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 76208 (MT). The NPI Number for DR. COURTNEY IVERSON HATHAWAY (MD) is 1326484130

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. COURTNEY IVERSON HATHAWAY (MD)
NPI
1326484130
Phone
(913) 856-5577
Address
18320 S CENTER ST
Enumeration Date
20 May 2013
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4069261088
Graduation Year
2019 (7 years ago)
PAC ID
1850523317
Group Practice PAC ID
8820305485
Professional Enrollment ID
I20190614000412
Address ID
MT598047424MI2835XRDXX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. COURTNEY IVERSON HATHAWAY (MD)

  • 18320 S CENTER ST

    GARDNER, KS 660309157

    Phone: (913) 856-5577

    Fax: (913) 856-3907

    Type: Mailing

  • 2835 FORT MISSOULA RD STE 303

    MISSOULA, MT 598047424

    Phone: (406) 926-1088

    Fax: (406) 926-1087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2023-11-22 • Largest payer in this snapshot: ABBVIE INC. ($89).

Total Amount

$141

General + Research + Ownership

Payments

8

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-22

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: 2019-06-14

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
I20190614000412IFamily PracticeMTTBD

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 minutes162113$0
36415Insertion of needle into vein for collection of blood sample146101$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit119119$0
99214Established patient office or other outpatient visit, 30-39 minutes11784$0
G0444Annual depression screening, 5 to 15 minutes108107$0
View full utilization report →

Insurance plans in this area (ZIP 66030)

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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: 8820305485View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMT
Nurse PractitionerMT
Nurse PractitionerMT
Physician AssistantMT

Reviews

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Frequently asked questions

What federal number belongs to DR. COURTNEY IVERSON HATHAWAY (MD)?
The federal identifier for DR. COURTNEY IVERSON HATHAWAY (MD) is NPI 1326484130.
Is DR. COURTNEY IVERSON HATHAWAY (MD)'s NPI currently valid?
The extract we use shows DR. COURTNEY IVERSON HATHAWAY (MD) as active.
Can you summarize DR. COURTNEY IVERSON HATHAWAY (MD)'s specialty in plain language?
Clinically, the directory lists DR. COURTNEY IVERSON HATHAWAY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. COURTNEY IVERSON HATHAWAY (MD)'s primary listing?
We display Gardner, Kansas because that is what the record indicates for DR. COURTNEY IVERSON HATHAWAY (MD).
Is DR. COURTNEY IVERSON HATHAWAY (MD) a real provider?
This page reflects official NPPES data for NPI 1326484130. Always confirm identity and privileges with the practice and licensing boards.

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