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KEN H BAXA DO
NPI 1386020741
Internal Medicine - Rheumatology in Hoisington, KS

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment
252 W 9TH ST STE A, HOISINGTON, KS 67544(620) 653-2386(620) 653-4186 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2023, Nov 1, 2022, Sep 21, 2021 and 3 more (6 updates tracked since 2020).

About Ken H Baxa Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN H BAXA DO (NPI 1386020741) is an individual rheumatology provider in Hoisington, Kansas, licensed in Kansas (05-40387) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Ellsworth County Medical Center, and maintains a secondary practice location in Ellsworth.

NPPES Registry Identity

NPI1386020741
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKEN H BAXACredential: DO
Location Address252 W 9TH ST STE AHoisington, KS 67544-1700
Mailing Address252 W 9th StHoisington, KS 67544-1725 · (620) 653-2386 · Fax (620) 653-4186
Phone(620) 653-2386
Fax(620) 653-4186
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 7, 2015
Last NPPES UpdateMarch 2, 20236 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1386020741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KS · 05-40387
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2014034707 (MO), 05-40387 (KS)
252 W 9TH ST STE A, Hoisington, KS 67544
Open in Google Maps ↗

Secondary Practice Location 1

Location 11604 Aylward AveEllsworth, KS 67439-2541 · Phone (785) 472-3111 · Fax (785) 472-5760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ken H Baxa Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557666096
PECOS Enrollment IDI20200615000410
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Ken Baxa reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Clara Barton Hospital Association Inc Hoisington Kansas
Same address
Surgery
252 W 9TH ST STE B
Hoisington, KS 67544
  • Reassigned Medicare billing, Kansas enrollment
  • 43 clinicians in this Medicare group
NPI 1255697728 (620) 653-4191
Lindsborg Community Hospital Association
11 mi
Family Medicine
3715 10TH ST
Great Bend, KS 67530
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1881697811 (Kansas)
  • 50 clinicians in this Medicare group
NPI 1144770298 (620) 792-7868
Ellsworth County Medical Center
34 mi
Rural Health
1602 N AYLWARD AVE
Ellsworth, KS 67439
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1083614028 (Kansas)
  • 26 clinicians in this Medicare group
NPI 1972504546 (785) 472-3111
Hospital District No 1 Marion Co
97 mi
Critical Access
535 S FREEBORN ST
Marion, KS 66861
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1144355793 (Kansas)
  • 23 clinicians in this Medicare group
NPI 1326087966 (620) 382-2177
Great Plains Of Republic Co., Inc.
111 mi
Critical Access
2420 G ST
Belleville, KS 66935
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1760405815 (Kansas), NPI 1366223810 (Kansas)
  • 13 clinicians in this Medicare group
NPI 1396765145 (785) 527-2254
Scotland County Memorial Hospital
368 mi
Family Medicine
55682 STATE HIGHWAY 6
Edina, MO 63537
  • Reassigned Medicare billing, Missouri enrollment
  • 55 clinicians in this Medicare group
NPI 1568092732 (660) 465-8513

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellsworth County Medical Center

Critical Access Hospitals · Ellsworth, KS
OwnershipProprietary
CMS Certification Number171327
Location1604 Aylward AvenueEllsworth, KS 67439 · Ellsworth County
Emergency services

Clara Barton Hospital

Critical Access Hospitals · Hoisington, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171333
Location250 W 9th StreetHoisington, KS 67544 · Barton County
Emergency services

St Luke Hospital & Living Center

Critical Access Hospitals · Marion, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171356
Location535 South FreebornMarion, KS 66861 · Marion County
Emergency services

Lindsborg Community Hospital

Critical Access Hospitals · Lindsborg, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171358
Location605 W Lincoln StreetLindsborg, KS 67456 · Mcpherson County
Emergency services

Republic County Hospital

Critical Access Hospitals · Belleville, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171361
Location2420 G StreetBelleville, KS 66935 · Republic County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDACE A LOWE PA-C
Physician Assistant
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
NATHANIEL C KNACKSTEDT DO
Internal Medicine
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
SARAH PAIGE VONFELDT LMSW
Social Worker
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
DEBRA S BROCKEL PA
Physician Assistant
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Clinic/Center (Rural Health)
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Clinic/Center (Rural Health)
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
MS. DEBORAH LEE SNYDER APRN
Nurse Practitioner (Family)
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386
SAVANNAH ELIZABETH BENDER MD
Family Medicine
252 W 9TH ST STE A
HOISINGTON, KS 67544
Barton County (620) 653-2386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Baxa's NPI number?

The NPI number for Ken Baxa is 1386020741. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Ken Baxa located?

Ken Baxa practices at 252 W 9th St Ste A, Hoisington, KS 67544. The listed phone number is (620) 653-2386.

What is Ken Baxa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ken Baxa enrolled in Medicare?

Yes. Ken Baxa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ken Baxa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Baxa reassigns Medicare benefits to 6 organizations: The Clara Barton Hospital Association Inc Hoisington Kansas (Hoisington, KS), Lindsborg Community Hospital Association (Great Bend, KS), Ellsworth County Medical Center (Ellsworth, KS), Hospital District No 1 Marion Co (Marion, KS), Great Plains Of Republic Co., Inc. (Belleville, KS) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ken Baxa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ken Baxa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Ken Baxa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ken Baxa affiliated with any hospitals?

According to CMS data, Ken Baxa is affiliated with Ellsworth County Medical Center, Clara Barton Hospital, St Luke Hospital & Living Center, Lindsborg Community Hospital and Republic County Hospital.

When was this NPI record last updated?

The NPPES record for Ken Baxa was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.