DR. BLAIR ASHTON THEDINGER – Family Medicine Physician, NPI 1750606042

DR. BLAIR ASHTON THEDINGER is a healthcare provider. based in Kansas city, Missouri. specializing in FAMILY PRACTICE. They hold a License No. 04-36367 (KS). The NPI Number for DR. BLAIR ASHTON THEDINGER is 1750606042

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAIR ASHTON THEDINGER
NPI
1750606042
Phone
(816) 753-5144
Address
3515 BROADWAY ST
Enumeration Date
30 March 2010
Last Update Date
10 September 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8167535144
Graduation Year
2008 (18 years ago)
PAC ID
4082884218
Group Practice PAC ID
9335386168
Professional Enrollment ID
I20131123000033
Address ID
MO641112501KA3515XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. BLAIR ASHTON THEDINGER

  • 3515, Broadway Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641112537

    Phone: (816) 753-5144

    Fax: (816) 756-1081

    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 38 Open Payments records for all available years, with a total value of $12,443.

Total Amount is formed as General ($12,443) + Research ($0) + Ownership ($0) = $12,443.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($6,829).

Total Amount

$12,443

General + Research + Ownership

Payments

38

Total payment records

General Amount

$12,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-11-23

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
I20131123000033IFamily PracticeMOTBD

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 64111)

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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: 9335386168View full group profile

Reviews

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Frequently asked questions

How is DR. BLAIR ASHTON THEDINGER identified in CMS data?
CMS-hosted NPPES data lists DR. BLAIR ASHTON THEDINGER with NPI 1750606042.
Does the file indicate DR. BLAIR ASHTON THEDINGER is practicing under active NPI?
Directory data currently reports DR. BLAIR ASHTON THEDINGER as active.
What taxonomy line describes DR. BLAIR ASHTON THEDINGER?
For research purposes, treat DR. BLAIR ASHTON THEDINGER as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. BLAIR ASHTON THEDINGER based?
DR. BLAIR ASHTON THEDINGER is tied to Kansas City, Missouri 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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