DR. BENJAMIN KINDERKNECHT (D.O.) – Surgery Physician, NPI 1801217245
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for DR. BENJAMIN KINDERKNECHT (D.O.)
201 NW R D MIZE RD
BLUE SPRINGS, MO 640142513
Phone: (816) 655-5426
Fax: (816) 655-5408
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)
No Open Payments data available for this provider.
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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: 2017-07-13
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 |
|---|---|---|---|---|
| I20170713003490 | I | General Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 41 | 40 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | 23 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | 17 | $0 |
Insurance plans in this area (ZIP 64014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | KS | |
| Cardiovascular Disease (Cardiology), Internal Medicine | AR |
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