KIM MARIE PUTERBAUGH (MD) – Obstetrics & Gynecology Physician, NPI 1831171362

KIM MARIE PUTERBAUGH (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 35123109 (OH). The NPI Number for KIM MARIE PUTERBAUGH (MD) is 1831171362

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
KIM MARIE PUTERBAUGH (MD)
NPI
1831171362
Phone
(414) 219-5600
Address
945 N 12TH ST
Enumeration Date
18 November 2005
Last Update Date
14 December 2020

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4052728498
Graduation Year
1994 (32 years ago)
PAC ID
8820028202
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20230724003790
Address ID
OK731021072OK535XXSTXX402

Contacts

Secure Messaging
uhclevelandmedicalcenter@uhhs.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

797 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for KIM MARIE PUTERBAUGH (MD)

  • Aurora Sinai Medical Center, 945, North 12th Street, Avenues West, Milwaukee, Milwaukee County, Wisconsin, 53233, United States

    3OHC

    MILWAUKEE, WI 532331305

    Phone: (414) 219-5600

    Fax: (414) 219-5201

    Type: Mailing

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 286-7592

    Type: Location

  • 11000 EUCLID AVE

    CLEVELAND, OH 441061714

    Phone: (216) 286-7592

    Fax: (216) 286-7592

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Organon LLC ($110).

Total Amount

$110

General + Research + Ownership

Payments

2

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$110
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: 2023-07-24

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
I20230724003790IObstetrics/GynecologyOKTBD

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 53233)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Is KIM MARIE PUTERBAUGH (MD) listed with a National Provider Identifier?
Yes — KIM MARIE PUTERBAUGH (MD) has NPI 1831171362 on file in the registry.
Is KIM MARIE PUTERBAUGH (MD) still an active registrant?
KIM MARIE PUTERBAUGH (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for KIM MARIE PUTERBAUGH (MD)?
At a glance, KIM MARIE PUTERBAUGH (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is KIM MARIE PUTERBAUGH (MD) located near Milwaukee?
KIM MARIE PUTERBAUGH (MD) currently maps to Milwaukee, Wisconsin in this extract.
When was this NPI issued?
Enumeration for KIM MARIE PUTERBAUGH (MD) is noted as November 18, 2005 where the registry provides it.

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