MR. DAVID R ALLEN M.D.
NPI 1952371163
Family Medicine in Holton, KS

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
1603 W 4TH ST, HOLTON, KS 66436(785) 364-3205(785) 364-3468 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 29, 2020, Jun 3, 2020 (2 updates tracked since 2020).

About Mr. David R Allen M.d. NPPES

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

MR. DAVID R ALLEN M.D. (NPI 1952371163) is an individual family medicine provider in Holton, Kansas, licensed in Kansas (0427617) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1952371163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DAVID R ALLENCredential: M.D.
Location Address1603 W 4TH STHolton, KS 66436-1153
Mailing Address25350 C RdSoldier, KS 66540-9306 · (785) 834-2643
Fax(785) 364-3468
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1997
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
NPI 1952371163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 0427617
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.
1603 W 4TH ST, Holton, KS 66436

Secondary Practice Locations 6

Location 1120 W 8th StOnaga, KS 66521-9574 · Phone (785) 889-4274 · Fax (785) 889-4714
Location 2302 Main StWestmoreland, KS 66549-9684 · Phone (785) 457-9890 · Fax (785) 457-9891
Location 3606 1st StCentralia, KS 66415-9637 · Phone (785) 857-3334 · Fax (785) 857-3397
Location 4206 S Grand AveSaint Marys, KS 66536-1637 · Phone (785) 437-3734 · Fax (785) 437-6186
Location 5114 W 8th StOnaga, KS 66521-9574 · Phone (785) 889-4241 · Fax (785) 889-4749
Location 6112 E 2nd StFrankfort, KS 66427-1403 · Phone (785) 292-4451 · Fax (785) 292-4286

Other Identifiers 1

Medicaid100320420BKS

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

Mr. David R Allen M.d. 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 ID8527192863
PECOS Enrollment IDI20100823000295
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 4

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
26 services22 patients

Hospital Affiliations CMS Care Compare 4

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Holton Community Hospital

Critical Access Hospitals · Holton, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171319
Location1110 Columbine DriveHolton, KS 66436 · Jackson County
Emergency services

Community Hospital, Onaga And St Marys Campus

Critical Access Hospitals · Onaga, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171354
Location120 West 8th StreetOnaga, KS 66521 · Pottawatomie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66436 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
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.

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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%854 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%86 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
62%706 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%498 patients2/55-star benchmark: 99%
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: 97% · 505 patients
Patients tobacco: 85% · 505 patients
2%53 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%498 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%498 patients1/55-star benchmark: 59%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 2% · 126 patients
90%126 patients
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 14

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
4 suppliers98 claims178 services$6.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims12 services$0.66 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims12 services$8.44 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers16 claims16 services$85.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers13 claims23 services$39.62 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
5 suppliers17 claims17 services$52.74 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 6

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

Registered Nurse
1603 W 4TH ST
HOLTON, KS 66436
Family Medicine
1603 W 4TH ST
HOLTON, KS 66436
Nurse Practitioner (Family)
1603 W 4TH ST
HOLTON, KS 66436
Family Medicine
1603 W 4TH ST
HOLTON, KS 66436
Physician Assistant
1603 W 4TH ST
HOLTON, KS 66436
Clinic/Center (Rural Health)
1603 W 4TH ST
HOLTON, KS 66436

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 David Allen's NPI number?

The NPI number for David Allen is 1952371163. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is David Allen located?

David Allen practices at 1603 W 4th St, Holton, KS 66436. The listed phone number is (785) 364-3205.

What is David Allen's specialty?

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

Is David Allen enrolled in Medicare?

Yes. David Allen 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 David Allen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list David Allen 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 David Allen affiliated with any hospitals?

According to CMS data, David Allen is affiliated with University Of Kansas Health System - St Francis Campus, Stormont Vail Hospital, Holton Community Hospital and Community Hospital, Onaga And St Marys Campus.

When was this NPI record last updated?

The NPPES record for David Allen was last updated on October 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.