DR. KOJI CHRISTOPHER EBERSOLE (M.D.) – Neurological Surgery Physician, NPI 1508061425

DR. KOJI CHRISTOPHER EBERSOLE (M.D.) is a healthcare provider. based in Kansas city, Kansas. specializing in PEDIATRIC MEDICINE, NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 25MA08066700 (NJ). The NPI Number for DR. KOJI CHRISTOPHER EBERSOLE (M.D.) is 1508061425

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KOJI CHRISTOPHER EBERSOLE (M.D.)
NPI
1508061425
Phone
(913) 588-6122
Address
3901 RAINBOW BLVD # MS 3021
Enumeration Date
20 June 2007
Last Update Date
13 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881227
Graduation Year
2003 (23 years ago)
PAC ID
7416126909
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20110818000397
Address ID
KS661608501KA4000XSTXX320
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

167 PEDIATRIC MEDICINE in KS

Provider Addresses for DR. KOJI CHRISTOPHER EBERSOLE (M.D.)

  • 3901 RAINBOW BLVD # MS 3021

    KANSAS CITY, KS 661608500

    Phone: (913) 588-6122

    Fax: (913) 945-8225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $5,195.

Total Amount is formed as General ($5,195) + Research ($0) + Ownership ($0) = $5,195.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,734).

Total Amount

$5,195

General + Research + Ownership

Payments

49

Total payment records

General Amount

$5,195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-03-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110818000397INeurosurgeryKSTBD
I20240326001386IPediatric MedicineMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5343$0
76937Ultrasonic guidance for blood vessel access3427$0
36224Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist3127$0
75898Imaging of blood vessel2925$0
75894Review by radiologist of image for insertion of material to block blood flow2926$0
View full utilization report →

Insurance plans in this area (ZIP 66160)

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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: 8921911587View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
-MO
Certified Registered Nurse Anesthetist (Crna)KS
-KS
-KS
Rheumatology, Internal MedicinePA
-MO
Qualified AudiologistMO
Hospitalist, Internal MedicineKS

Reviews

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Frequently asked questions

What is the registry number for DR. KOJI CHRISTOPHER EBERSOLE (M.D.)?
The registry entry for DR. KOJI CHRISTOPHER EBERSOLE (M.D.) shows NPI 1508061425.
Does the public listing show DR. KOJI CHRISTOPHER EBERSOLE (M.D.) as active?
DR. KOJI CHRISTOPHER EBERSOLE (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. KOJI CHRISTOPHER EBERSOLE (M.D.)'s listing?
DR. KOJI CHRISTOPHER EBERSOLE (M.D.)'s public classification highlights Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. KOJI CHRISTOPHER EBERSOLE (M.D.) tied to Kansas City, Kansas?
If you are local to Kansas City, Kansas, DR. KOJI CHRISTOPHER EBERSOLE (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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