DR. RICKY KELLENBERGER (D.O) – Family Medicine Physician, NPI 1700864568
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. RICKY KELLENBERGER (D.O)
State Street, Fort Scott, Bourbon County, Kansas, 66701, United States
SUITE A
FORT SCOTT, KS 667012031
Phone: (620) 223-3950
Fax: (620) 223-1302
Type: Mailing
401 Woodland Hills Blvd
Fort Scott, KS 667018797
Phone: (620) 768-0388
Type: Location
202 STATE ST STE A
FORT SCOTT, KS 667012067
Phone: (620) 223-3950
Fax: (620) 223-1302
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $708.
Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($166).
Total Amount
$708
General + Research + Ownership
Payments
38
Total payment records
General Amount
$708
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-04-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040511000462 | I | Family Practice | MO | TBD |
| I20050415000650 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 204 | 81 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 177 | 90 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 164 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 57 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 86 | 17 | $0 |
Insurance plans in this area (ZIP 66701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS |
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