DR. MARK ETHAN VANNORDEN (D.O.) – Family Medicine Physician, NPI 1376595959

DR. MARK ETHAN VANNORDEN (D.O.) is a healthcare provider. based in Great bend, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 0530418 (KS). The NPI Number for DR. MARK ETHAN VANNORDEN (D.O.) is 1376595959

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ETHAN VANNORDEN (D.O.)
NPI
1376595959
Phone
(620) 793-8429
Address
3515 Broadway Ave
Enumeration Date
16 May 2006
Last Update Date
1 April 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6207866515
Graduation Year
2002 (24 years ago)
PAC ID
8729078456
Group Practice PAC ID
5597016378
Professional Enrollment ID
I20040514000871
Address ID
KS675303633GR3515XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040514000871IEmergency MedicineKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes575210$0
99213Established patient office or other outpatient visit, 20-29 minutes175111$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15139$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13315$0
99215Established patient office or other outpatient visit, 40-54 minutes8057$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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Provider's Procedures

DR. MARK ETHAN VANNORDEN (D.O.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEKS83036Hemoglobin A1C level11664

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: 5597016378View full group profile
NameSpecialtyState
Physician AssistantKS
-TN
Nurse PractitionerKS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
-MS
Nurse PractitionerKS
Emergency Medicine, Family PracticeKS
Physical Therapist In Private PracticeKS
Physician AssistantCO

Reviews

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Frequently asked questions

How do payers reference DR. MARK ETHAN VANNORDEN (D.O.)?
For DR. MARK ETHAN VANNORDEN (D.O.), use NPI 1376595959 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MARK ETHAN VANNORDEN (D.O.)?
You should see DR. MARK ETHAN VANNORDEN (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe DR. MARK ETHAN VANNORDEN (D.O.)'s focus?
For DR. MARK ETHAN VANNORDEN (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK ETHAN VANNORDEN (D.O.) associated with Great Bend?
Public fields place DR. MARK ETHAN VANNORDEN (D.O.) around Great Bend, Kansas. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. MARK ETHAN VANNORDEN (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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