Central Kansas Orthopedic Group – Multi-Specialty Clinic/Center, NPI 1962997197

Central Kansas Orthopedic Group is a healthcare provider. based in Great bend, Kansas. specializing in Multi-Specialty Clinic/Center. The NPI Number for Central Kansas Orthopedic Group is 1962997197

Main info

Organization
Name
Central Kansas Orthopedic Group
NPI
1962997197
Phone
(620) 792-4383
Address
1514 KS96 Highway
Authorized Official
TIMOTHY LATIMER DIRECTOR OF FINANCE/CONTROLLER
Enumeration Date
29 June 2018
Last Update Date
13 April 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Central Kansas Orthopedic Group

  • 1514 KS96 Highway

    Great Bend, KS 675306753

    Phone: (620) 792-4383

    Type: Location

  • Great Bend Regional Hospital, 514, Cleveland Street, Great Bend, Barton County, Kansas, 67530, United States

    GREAT BEND, KS 675303562

    Phone: (620) 792-8833

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (984 days ago).

Enrollment records

2

Earliest due date

2023-09-30

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
O20180918000770OClinic/Group PracticeKS2023-09-30
O20211116001476OPhysician - Orthopedic/Orthopedic SurgeryKS2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 67530)

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Reviews

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Frequently asked questions

What federal number belongs to Central Kansas Orthopedic Group?
The federal identifier for Central Kansas Orthopedic Group is NPI 1962997197.
Is Central Kansas Orthopedic Group active in the national directory?
Central Kansas Orthopedic Group's public NPI profile is in an active state.
Can you summarize Central Kansas Orthopedic Group's specialty in plain language?
Clinically, the directory lists Central Kansas Orthopedic Group with Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Central Kansas Orthopedic Group's primary listing?
We display Great Bend, Kansas because that is what the record indicates for Central Kansas Orthopedic Group.
What if Great Bend, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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