KURT J KLISE MD
NPI 1871589754
Family Medicine in Grimes, IA

Q: What is Kurt Klise's NPI number?

The NPI number for Kurt Klise is 1871589754. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Kurt Klise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kurt Klise was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment

250 SW BROOKSIDE DR, GRIMES, IA 50111(515) 300-3900(515) 300-3901 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jan 15, 2018 (2 updates tracked since 2018).

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About Kurt J Klise Md NPPES

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

KURT J KLISE MD (NPI 1871589754) is an individual family medicine provider in Grimes, Iowa, licensed in Iowa (24439) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone Centerville Medical Center, and maintains a secondary practice location in Perry.

NPPES Registry Identity

NPI1871589754

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKURT J KLISECredential: MD

Location Address250 SW BROOKSIDE DRGrimes, IA 50111-4900

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 300-3900 · Fax (515) 300-3901

Phone(515) 300-3900

Fax(515) 300-3901

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1982

Enumeration DateSeptember 26, 2005

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1871589754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 24439

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 SW BROOKSIDE DR, Grimes, IA 50111

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Secondary Practice Location 1

Location 1616 10th StPerry, IA 50220-2221 · Phone (515) 465-3553 · Fax (515) 465-4319

Other Identifiers 2

Other080195357IA · Rr Medicare

Medicaid3219469IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.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

Kurt J Klise 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 ID8426104498

PECOS Enrollment IDI20090916000028

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.

Hospital Affiliations CMS Care Compare

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

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161377

LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50111 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers14 claims27 services$6.09 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers11 claims60 services$14.42 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers13 claims13 services$54.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims45 services$2.65 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$21.30 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers18 claims18 services$50.70 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 7

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

JENNIFER LYN MESSERSMITH PA-C

Physician Assistant