CHRISTOPHER THACKER – Trauma Surgery Physician, NPI 1609335678
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,308 CRITICAL CARE (INTENSIVISTS) in PA
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Provider Addresses for CHRISTOPHER THACKER
999 N SILVER SPRINGS BLVD APT 1114
WICHITA, KS 672126040
Phone: (316) 689-1899
Type: Mailing
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
DANVILLE, PA 178220001
Phone: (570) 271-6211
Type: Location
551 N HILLSIDE ST STE 201
WICHITA, KS 672144925
Phone: (316) 263-0296
Type: Mailing
818 N EMPORIA ST STE 200
WICHITA, KS 672143726
Phone: (316) 263-0296
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($63).
Total Amount
$107
General + Research + Ownership
Payments
4
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $63 |
| Medtronic, Inc. | $44 |
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: 2025-04-30
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 |
|---|---|---|---|---|
| I20250430000754 | I | Critical Care (Intensivists) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| General Surgery | KS | |
| General Surgery | KS | |
| Vascular Surgery, General Surgery | KS | |
| Qualified Audiologist | KS | |
| General Surgery | KS | |
| Vascular Surgery | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| O T O L A R Y N G O L O G Y | KS |
Reviews
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