KENNETH M RIPP (M.D.) – Family Medicine Physician, NPI 1245312537

KENNETH M RIPP (M.D.) is a healthcare provider. based in Cloquet, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 38473 (MN). The NPI Number for KENNETH M RIPP (M.D.) is 1245312537

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH M RIPP (M.D.)
NPI
1245312537
Phone
(218) 879-1271
Address
417 SKYLINE BLVD
Enumeration Date
19 October 2006
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188794641
Graduation Year
1992 (34 years ago)
PAC ID
4688587561
Group Practice PAC ID
0042129991
Professional Enrollment ID
I20100210000296
Address ID
MN557203787CL512XXBLVD300

Contacts

Secure Messaging
kenneth.ripp@rcll.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

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Provider Addresses for KENNETH M RIPP (M.D.)

  • CMH Raiter Family Clinic, 417, Skyline Boulevard, Cloquet, Carlton County, Minnesota, 55720, United States

    CLOQUET, MN 557201164

    Phone: (218) 879-1271

    Fax: (218) 879-8904

    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 1 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Mannkind Corporation ($59).

Total Amount

$59

General + Research + Ownership

Payments

1

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mannkind Corporation$59
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: 2010-02-10

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
I20100210000296IFamily PracticeMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55720)

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Provider's Procedures

KENNETH M RIPP (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN85610Blood test, clotting time40732

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: 0042129991View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
N E U R O S U R G E R YMN
-MN
General SurgeryMN
-MN

Reviews

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Frequently asked questions

Where can patients find KENNETH M RIPP (M.D.)'s NPI?
You can confirm KENNETH M RIPP (M.D.) with NPI 1245312537; it appears in the national provider directory.
Is KENNETH M RIPP (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KENNETH M RIPP (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for KENNETH M RIPP (M.D.). Clinical services aligned with this taxonomy classification.
Where is KENNETH M RIPP (M.D.)'s primary listing?
We display Cloquet, Minnesota because that is what the record indicates for KENNETH M RIPP (M.D.).
How can I contact KENNETH M RIPP (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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