DR. MAIKO G EBERSOLE-ROBINSON (MD MPH) – Family Medicine Physician, NPI 1386611457
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. MAIKO G EBERSOLE-ROBINSON (MD MPH)
21 N 12th St
Kansas City, KS 661025161
Phone: (913) 342-2552
Fax: (913) 342-2550
Type: Location
417 E 37TH ST
KANSAS CITY, MO 641092604
Phone: (816) 268-4295
Fax: (816) 268-4297
Type: Mailing
1403 GRAND BLVD
KANSAS CITY, MO 641062917
Phone: (816) 268-4295
Fax: (816) 268-4297
Type: Location
State Avenue, Kansas City, Wyandotte County, Kansas, 66111-1953, United States
STATE AVENUE HEALTH CARE
KANSAS CITY, KS 661021748
Phone: (913) 945-9740
Fax: (913) 945-9741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,264.
Total Amount is formed as General ($1,264) + Research ($0) + Ownership ($0) = $1,264.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($533).
Total Amount
$1,264
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $533 |
| AstraZeneca Pharmaceuticals LP | $411 |
| Lilly USA, LLC | $172 |
| Exact Sciences Corporation | $49 |
| Amgen Inc. | $36 |
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: 2007-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050301000987 | I | Family Practice | MO | TBD |
| I20070710000674 | 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 | 68 | 41 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
Insurance plans in this area (ZIP 66102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Nurse Practitioner | MO | |
| Family Practice | CO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO |
Reviews
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