DR. KIMBERLY DAWN PONNURU (M.D.) – Surgery Physician, NPI 1689766230
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
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Provider Addresses for DR. KIMBERLY DAWN PONNURU (M.D.)
Kessler Street, Merriam, Johnson County, Kansas, 66203, United States
STE 201
MERRIAM, KS 66204
Phone: (913) 632-9200
Fax: (913) 632-9209
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 64 Open Payments records for all available years, with a total value of $28,716.
Total Amount is formed as General ($28,716) + Research ($0) + Ownership ($0) = $28,716.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($28,220).
Total Amount
$28,716
General + Research + Ownership
Payments
64
Total payment records
General Amount
$28,716
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $28,220 |
| Davol Inc. | $118 |
| TELA Bio, Inc. | $100 |
| Baxter Healthcare | $71 |
| Abbott Laboratories | $40 |
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: 2011-08-24
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 |
|---|---|---|---|---|
| I20110824000947 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 17 | 17 | $0 |
Insurance plans in this area (ZIP 66204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | NC | |
| Nurse Practitioner | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Internal Medicine | KS | |
| Nurse Practitioner | KS | |
| Cardiovascular Disease (Cardiology) | KS |
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