ANDREW S. T. PORTER (D.O., FAAFP) – Sports Medicine (Family Medicine) Physician, NPI 1962458828
Sports Medicine (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 ANDREW S. T. PORTER (D.O., FAAFP)
3100 W McCormick Ave
Wichita, KS 672132008
Phone: (316) 942-4291
Type: Location
Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States
WICHITA, KS 672011897
Phone: (316) 268-8131
Fax: (316) 291-4788
Type: Mailing
North Emporia Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States
WICHITA, KS 672143707
Phone: (316) 858-3460
Fax: (316) 858-3458
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-05-25
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 |
|---|---|---|---|---|
| I20060525000123 | I | Sports Medicine | 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 | 64 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 35 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 41 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 67213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Family Practice | AR | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Internal Medicine | NY | |
| Family Practice | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS |
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