WILLIAM TRAVIS DIERENFELDT (MD) – Specialist, NPI 1477591634
Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
128 GASTROENTEROLOGY in KS
Provider Addresses for WILLIAM TRAVIS DIERENFELDT (MD)
1325 RESEARCH PARK DR
MANHATTAN, KS 665025000
Phone: (785) 537-2651
Type: Location
1102 Saint Marys Rd
Junction City, KS 664414139
Phone: (785) 238-0325
Fax: (785) 576-1113
Type: Location
1014 POYNTZ AVE STE B
MANHATTAN, KS 665026758
Phone: (785) 359-0156
Fax: (785) 539-0177
Type: Mailing
1213, Hylton Heights Road, Manhattan, Riley County, Kansas, 66502, United States
SUITE 101
MANHATTAN, KS 665022810
Phone: (785) 539-0156
Fax: (785) 539-0177
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-08-02 • Largest payer in this snapshot: Medtronic, Inc. ($20).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $20 |
| Boston Scientific Corporation | $19 |
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: 2010-10-27
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 |
|---|---|---|---|---|
| I20101027000462 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 263 | 260 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 252 | 241 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 120 | 120 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 104 | 77 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 90 | 90 | $0 |
Insurance plans in this area (ZIP 66502)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| - | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Cardiac Electrophysiology | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| Nurse Practitioner | KS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.