DR. MATTHEW A KIENSTRA MD NPI 1740329671

NPI Information

  • NPI: 1740329671
  • Provider Name: DR. MATTHEW A KIENSTRA, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1965 S FREMONT AVE
    SUITE 120
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 887-3223

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NPI Details

DR. Matthew A Kienstra, MD is a facial plastic surgery otolaryngology in Springfield, MO with 30 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Matthew A Kienstra, MD NPI is 1740329671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

1965 S FREMONT AVE
SUITE 120
SPRINGFIELD, MO
ZIP 65804-201
Phone: (417) 887-3223
Fax: (417) 820-3955

The NPI 1740329671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Spinal fusion (HCPCS:NAN02)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology2006003278MISSOURINo
2207YS0123XOtolaryngologyFacial Plastic Surgery2006003278MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1160592001MEDICAIDARKANSAS
2200586204MEDICAIDMISSOURI
3204558OTHERMISSOURIMO BLUE SHIELD
483878OTHERARKANSASARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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