KEVIN M MARBERRY MD
NPI 1417995523
Orthopaedic Surgery in Hannibal, MO

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
6500 HOSPITAL DR, HANNIBAL, MO 63401(573) 629-3410(573) 629-3335 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2025, Jun 8, 2023, Sep 9, 2020 (3 updates tracked since 2020).

About Kevin M Marberry Md NPPES

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

KEVIN M MARBERRY MD (NPI 1417995523) is an individual orthopaedic surgery provider in Hannibal, Missouri, licensed in Missouri (119051) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Regional Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1999).

NPPES Registry Identity

NPI1417995523
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN M MARBERRYCredential: MD
Location Address6500 HOSPITAL DRHannibal, MO 63401-6890
Mailing AddressPo Box 1239Hannibal, MO 63401-1239 · (573) 406-5930 · Fax (573) 248-5448
Fax(573) 629-3335
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1999
Enumeration DateJune 2, 2006
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
NPI 1417995523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · 119051
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6500 HOSPITAL DR, Hannibal, MO 63401

Other Identifiers 1

Medicaid209216704MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin M Marberry Md 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 ID8325007289
PECOS Enrollment IDI20041006000814
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.

Areas of Expertise CMS Part B claims 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
540 services75 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.
285 services155 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
148 services76 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
74 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260022
Location315 S OsteopathyKirksville, MO 63501 · Adair County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO
OwnershipGovernment - Local
CMS Certification Number261313
Location1205 North Missouri StMacon, MO 63552 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,093 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,052 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 593 patients
Patients tobacco: 7% · 103 patients
77%593 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.35 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims720 services$0.82 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims63,000 services$0.15 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$114.93 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Family Medicine
6500 HOSPITAL DR, FAMILY MEDICINE
HANNIBAL, MO 63401
Internal Medicine (Pulmonary Disease)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Gerontology)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Psychiatry & Neurology (Psychiatry)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Clinic/Center (Rural Health)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Internal Medicine
6500 HOSPITAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401

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 Kevin Marberry's NPI number?

The NPI number for Kevin Marberry is 1417995523. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kevin Marberry located?

Kevin Marberry practices at 6500 Hospital Dr, Hannibal, MO 63401. The listed phone number is (573) 629-3410.

What is Kevin Marberry's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Marberry enrolled in Medicare?

Yes. Kevin Marberry 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.

What insurance does Kevin Marberry accept?

Health plans from UnitedHealthcare list Kevin Marberry 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 Kevin Marberry affiliated with any hospitals?

According to CMS data, Kevin Marberry is affiliated with Northeast Regional Medical Center, Hannibal Regional Hospital and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Marberry was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.