DR. KENT L KILLIAN MD
NPI 1528034717
Pediatrics in Wildwood, MO
About Dr. Kent L Killian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENT L KILLIAN MD (NPI 1528034717) is an individual pediatrics provider in Wildwood, Missouri, licensed in Missouri (R6P03) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kent L Killian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kent Killian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wildwood, MO 63040
- Reassigned Medicare billing, Missouri enrollment
- 744 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILDWOOD, MO 63040
WILDWOOD, MO 63040
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 Kent Killian's NPI number?
The NPI number for Kent Killian is 1528034717. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is Kent Killian located?
Kent Killian practices at 16555 Manchester Rd Suite 201, Wildwood, MO 63040. The listed phone number is (636) 458-5858.
What is Kent Killian's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kent Killian enrolled in Medicare?
Yes. Kent Killian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kent Killian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kent Killian reassigns Medicare benefits to Mercy Clinic East Communities (Wildwood, MO). The 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 Kent Killian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kent Killian accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Kent Killian 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.
When was this NPI record last updated?
The NPPES record for Kent Killian was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kent L Killian, MD · NPI 1528034717
Pediatrics physician in Wildwood, Missouri. Individual provider, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1528034717 (Entity type: Individual)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** R6P03 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 16555 MANCHESTER RD, SUITE 201, Wildwood, MO 63040-1220
- **Phone:** (636) 458-5858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic East Communities (NPI 1164857397, Wildwood, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2012
- **Other identifiers:** Medicare UPIN G40304 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1528034717) · Data from the CMS NPPES public registry.