KEVIN M MARBERRY (MD) – Orthopaedic Surgery Physician, NPI 1417995523

KEVIN M MARBERRY (MD) is a healthcare provider. based in Wichita, Kansas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 119051 (MO). The NPI Number for KEVIN M MARBERRY (MD) is 1417995523

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN M MARBERRY (MD)
NPI
1417995523
Phone
(316) 613-4640
Address
1947 N FOUNDERS CIR
Enumeration Date
2 June 2006
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6607851000
Graduation Year
1999 (27 years ago)
PAC ID
8325007289
Group Practice PAC ID
4486619269
Professional Enrollment ID
I20041006000814
Address ID
MO635016401KI315XXAVEX400

Contacts

Secure Messaging
kevin.marberry.3@2245.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

802 ORTHOPEDIC SURGERY in MO

Provider Addresses for KEVIN M MARBERRY (MD)

  • 1947 N FOUNDERS CIR

    WICHITA, KS 672063548

    Phone: (316) 613-4640

    Fax: (316) 613-4643

    Type: Mailing

  • PO BOX 1239

    HANNIBAL, MO 634011239

    Phone: (573) 406-5930

    Fax: (573) 248-5448

    Type: Mailing

  • 6500 HOSPITAL DR

    HANNIBAL, MO 634016890

    Phone: (573) 629-3410

    Fax: (573) 629-3335

    Type: Location

  • 800 W JEFFERSON ST FL 1

    KIRKSVILLE, MO 635011443

    Phone: (660) 626-2663

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $3,555.

Total Amount is formed as General ($3,555) + Research ($0) + Ownership ($0) = $3,555.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,148).

Total Amount

$3,555

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,555

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2004-10-06

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
I20041006000814IOrthopedic SurgeryMOTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg40062$0
99213Established patient office or other outpatient visit, 20-29 minutes281166$0
20610Aspiration and/or injection of fluid from large joint12065$0
99214Established patient office or other outpatient visit, 30-39 minutes7765$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 4486619269View full group profile
NameSpecialtyState
-TX
General SurgeryMO
General SurgeryMO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
Diagnostic RadiologyMO
Internal Medicine, Geriatric MedicineMO
Internal MedicineMO
Anesthesiology, General Surgery, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

Can I use this page to confirm KEVIN M MARBERRY (MD)'s NPI?
Yes. KEVIN M MARBERRY (MD) is listed with NPI 1417995523 in the public NPI dataset.
Does CMS list KEVIN M MARBERRY (MD) as active?
Yes — KEVIN M MARBERRY (MD) is active in the NPI listing used on this page.
What is KEVIN M MARBERRY (MD)'s specialty?
The listing groups KEVIN M MARBERRY (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does KEVIN M MARBERRY (MD) serve?
KEVIN M MARBERRY (MD)'s listing highlights Wichita, Kansas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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