KENNETH W RETTER (MD) – Interventional Cardiology Physician, NPI 1033152335
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 INTERVENTIONAL CARDIOLOGY in MO
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Provider Addresses for KENNETH W RETTER (MD)
371, South Broadview Street, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
CAPE GIRARDEAU, MO 637035761
Phone: (573) 334-6008
Fax: (573) 334-1713
Type: Mailing
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-3000
Fax: (573) 331-5079
Type: Mailing
211 SAINT FRANCIS DR STE 15
CAPE GIRARDEAU, MO 637035049
Phone: (573) 331-3333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $636.
Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Abbott Laboratories ($479).
Total Amount
$636
General + Research + Ownership
Payments
11
Total payment records
General Amount
$636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $479 |
| ABIOMED | $120 |
| Novartis Pharmaceuticals Corporation | $20 |
| Medtronic, Inc. | $18 |
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: 2009-10-15
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 |
|---|---|---|---|---|
| I20091015000410 | I | Interventional Cardiology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63703)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 154 | 154 |
| INTERVENTIONAL CARDIOLOGY | MO | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 206 | 172 |
| INTERVENTIONAL CARDIOLOGY | MO | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 70 | 55 |
| INTERVENTIONAL CARDIOLOGY | MO | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 31 | 22 |
| INTERVENTIONAL CARDIOLOGY | MO | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 69 | 65 |
| INTERVENTIONAL CARDIOLOGY | MO | 93922 | Ultrasound study of arteries of both arms and legs | 33 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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