KIM L RICKERT (MD) – Neurological Surgery Physician, NPI 1235296591

KIM L RICKERT (MD) is a healthcare provider. based in Sayre, Pennsylvania. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 43836-020 (WI). The NPI Number for KIM L RICKERT (MD) is 1235296591

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KIM L RICKERT (MD)
NPI
1235296591
Phone
(570) 888-5858
Address
1 GUTHRIE SQ
Enumeration Date
3 January 2007
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708885858
Graduation Year
2000 (26 years ago)
PAC ID
1355413261
Group Practice PAC ID
6002728656
Professional Enrollment ID
I20150810000405
Address ID
PA188401625SA1XXXXSQXX300

Contacts

Secure Messaging
krickert57950@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

464 NEUROSURGERY in PA

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Provider Addresses for KIM L RICKERT (MD)

  • Guthrie Robert Packer Hospital, 1, Guthrie Square, Sayre, Bradford County, Pennsylvania, 18840, United States

    SAYRE, PA 188401625

    Phone: (570) 888-5858

    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 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Stryker Corporation ($19).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2015-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080710000201IDiagnostic RadiologyTXTBD
I20150810000405INeurosurgeryPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6255$0
99204New patient office or other outpatient visit, 45-59 minutes5757$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3030$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 18840)

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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: 6002728656View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMO
Diagnostic RadiologyKY
Diagnostic RadiologyMA
Nurse PractitionerPA
-NY
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Gastroenterology, Internal MedicinePA
-PA

Reviews

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Frequently asked questions

What NPI should I save for KIM L RICKERT (MD)?
Save NPI 1235296591 if you need a stable reference for KIM L RICKERT (MD).
Is KIM L RICKERT (MD) currently active in the NPI registry?
CMS-published data lists KIM L RICKERT (MD) as an active registrant.
Does KIM L RICKERT (MD) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for KIM L RICKERT (MD). Clinical services aligned with this taxonomy classification.
Does KIM L RICKERT (MD) practice in Pennsylvania?
You will see Sayre, Pennsylvania on file for KIM L RICKERT (MD) alongside any extra practice locations.
What if Sayre, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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