DR. MARK ETHAN VANNORDEN (D.O.) – Family Medicine Physician, NPI 1376595959
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 EMERGENCY MEDICINE in KS
Provider Addresses for DR. MARK ETHAN VANNORDEN (D.O.)
3515 Broadway Ave
Great Bend, KS 675303633
Phone: (620) 793-8429
Fax: (620) 793-6014
Type: Location
200, East 8th Street, Larned, Pawnee County, Kansas, 67550, United States
LARNED, KS 675502602
Phone: (620) 285-6041
Fax: (620) 285-6194
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $597.
Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($163).
Total Amount
$597
General + Research + Ownership
Payments
40
Total payment records
General Amount
$597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $163 |
| Grifols USA, LLC | $66 |
| Sumitomo Pharma America, Inc. | $54 |
| Novartis Pharmaceuticals Corporation | $53 |
| Mylan Specialty L.P. | $37 |
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: 2004-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040514000871 | I | Emergency Medicine | 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 | 575 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 175 | 111 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 151 | 39 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 133 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 80 | 57 | $0 |
Insurance plans in this area (ZIP 67530)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | KS | 83036 | Hemoglobin A1C level | 116 | 64 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| - | TN | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physical Therapist In Private Practice | KS | |
| - | MS | |
| Nurse Practitioner | KS | |
| Emergency Medicine, Family Practice | KS | |
| Physical Therapist In Private Practice | KS | |
| Physician Assistant | CO |
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