IAN JAMES KENDRICK (M.D.) – Surgery Physician, NPI 1902126824

IAN JAMES KENDRICK (M.D.) is a healthcare provider. based in Evanston, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. TL2981 (WY). The NPI Number for IAN JAMES KENDRICK (M.D.) is 1902126824

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
IAN JAMES KENDRICK (M.D.)
NPI
1902126824
Phone
(307) 783-8398
Address
196 ARROWHEAD DR 6
Enumeration Date
2 June 2010
Last Update Date
21 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3077838123
Graduation Year
2010 (16 years ago)
PAC ID
7810204849
Group Practice PAC ID
8325038094
Professional Enrollment ID
I20150923001414
Address ID
WY829308752EV196XXDRXX316
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

328 FAMILY PRACTICE in WY

Provider Addresses for IAN JAMES KENDRICK (M.D.)

  • 196 ARROWHEAD DR 6

    EVANSTON, WY 829308752

    Phone: (307) 783-8398

    Fax: (307) 783-8446

    Type: Mailing

  • 190 ARROWHEAD DR

    EVANSTON, WY 829309266

    Phone: (307) 783-8255

    Fax: (307) 783-8167

    Type: Location

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 $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: TELA Bio, Inc. ($124).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

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: 2015-09-23

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
I20150923001414IFamily PracticeWYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6860$0
99203New patient office or other outpatient visit, 30-44 minutes5555$0
36415Insertion of needle into vein for collection of blood sample4242$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2727$0
45380Biopsy of large bowel using a flexible endoscope2626$0
View full utilization report →

Insurance plans in this area (ZIP 82930)

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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: 8325038094View full group profile
NameSpecialtyState
Physician AssistantWY
General SurgeryWY
Nurse PractitionerWY
Orthopedic SurgeryWY
Nurse PractitionerWY
Nurse PractitionerWY
Physician AssistantAZ
Nurse PractitionerWY
-WY
Physician AssistantWY

Reviews

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Frequently asked questions

What federal number belongs to IAN JAMES KENDRICK (M.D.)?
The federal identifier for IAN JAMES KENDRICK (M.D.) is NPI 1902126824.
Is IAN JAMES KENDRICK (M.D.) currently active in the NPI registry?
CMS-published data lists IAN JAMES KENDRICK (M.D.) as an active registrant.
What kind of provider is IAN JAMES KENDRICK (M.D.)?
The page reflects Surgery Physician for IAN JAMES KENDRICK (M.D.). Clinical services aligned with this taxonomy classification.
Where is IAN JAMES KENDRICK (M.D.)'s primary listing?
We display Evanston, Wyoming because that is what the record indicates for IAN JAMES KENDRICK (M.D.).
Is IAN JAMES KENDRICK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1902126824. Always confirm identity and privileges with the practice and licensing boards.

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