CLINT M COLBERG (MD) – Family Medicine Physician, NPI 1558337287

CLINT M COLBERG (MD) is a healthcare provider. based in Holton, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 6300 (KS). The NPI Number for CLINT M COLBERG (MD) is 1558337287

Main info

Male
21 Years Of Experience
Name
CLINT M COLBERG (MD)
NPI
1558337287
Phone
(785) 364-2116
Address
1100 COLUMBINE DRIVE
Enumeration Date
23 February 2006
Last Update Date
30 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7853642126
Graduation Year
2005 (21 years ago)
PAC ID
9133156581
Group Practice PAC ID
7810807690
Professional Enrollment ID
I20050718000907
Address ID
KS664368824HO1110XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for CLINT M COLBERG (MD)

  • 1100 COLUMBINE DRIVE

    HOLTON, KS 66436

    Phone: (785) 364-2116

    Fax: (785) 364-9613

    Type: Mailing

  • Columbine Drive, Holton, Jackson County, Kansas, 66436, United States

    HOLTON, KS 664368841

    Phone: (785) 364-2126

    Fax: (785) 364-2801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($143).

Total Amount

$369

General + Research + Ownership

Payments

18

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2005-07-18

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
I20050718000907IFamily PracticeKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 66436)

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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: 7810807690View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS
-KS

Reviews

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Frequently asked questions

Is there an official ID for CLINT M COLBERG (MD) in U.S. healthcare records?
The official identifier for CLINT M COLBERG (MD) is NPI 1558337287.
Is there an active status for CLINT M COLBERG (MD)?
For scheduling context, CLINT M COLBERG (MD) is shown as active in the registry.
How would a patient describe CLINT M COLBERG (MD)'s focus?
For CLINT M COLBERG (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CLINT M COLBERG (MD)?
Directory geography for CLINT M COLBERG (MD) centers on Holton, Kansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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Unknown Individual

Family Medicine Physician
Columbine Drive, Holton, Jackson County, Kansas, 66436, United States
NPI: 1730154543