KENTON W SCHOONOVER (MD) – Plastic Surgery Physician, NPI 1780611178

KENTON W SCHOONOVER (MD) is a healthcare provider. based in Wichita, Kansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 27772 (KS). The NPI Number for KENTON W SCHOONOVER (MD) is 1780611178

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
KENTON W SCHOONOVER (MD)
NPI
1780611178
Phone
(316) 305-9618
Address
10111 E 21ST ST N STE 305
Enumeration Date
28 June 2006
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3163059618
Graduation Year
1997 (29 years ago)
PAC ID
3072583798
Group Practice PAC ID
8628359346
Professional Enrollment ID
I20040729001019
Address ID
KS672063104WI1923XRDXX400

Contacts

Secure Messaging
kansasplasticsurgery@protonmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS

Provider Addresses for KENTON W SCHOONOVER (MD)

  • 10111 E 21ST ST N STE 305

    WICHITA, KS 672063581

    Phone: (316) 305-9618

    Fax: (316) 440-9701

    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 19 Open Payments records for all available years, with a total value of $1,029.

Total Amount is formed as General ($1,029) + Research ($0) + Ownership ($0) = $1,029.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: TELA Bio, Inc. ($544).

Total Amount

$1,029

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,029

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2004-07-29

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
I20040729001019IPlastic And Reconstructive SurgeryKSTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes3228$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 8628359346View full group profile
NameSpecialtyState
Nurse PractitionerKS

Reviews

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Frequently asked questions

Can I verify KENTON W SCHOONOVER (MD) with an NPI only?
You can start verification with NPI 1780611178 for KENTON W SCHOONOVER (MD), then check state licensing separately.
Does the file indicate KENTON W SCHOONOVER (MD) is practicing under active NPI?
Directory data currently reports KENTON W SCHOONOVER (MD) as active.
What healthcare role does KENTON W SCHOONOVER (MD) hold?
Scheduling teams often label KENTON W SCHOONOVER (MD) under Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is KENTON W SCHOONOVER (MD) based?
KENTON W SCHOONOVER (MD) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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