Active NPI
Kory Dane Blank, M.D
- Orthopaedic Surgery Physician
- Hannibal, MO
National Provider Identifier
1508214669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2025020901
- Practice address
- 6500 Hospital Dr
Hannibal, MO 63401-6890 - Phone
- (573) 629-3500
- Fax
- (573) 629-3370
- NPI assigned
- May 31, 2016
- Last updated
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 125.068544 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 2025020901 | MO | Primary |
Addresses
Primary practice location
6500 Hospital Dr
Hannibal, MO 63401-6890
Mailing address
PO Box 1259
Hannibal, MO 63401-1259
Phone (573) 629-3500
Other practice location 1
303 NW 11th St
Fairfield, IL 62837-1203
Phone (618) 847-4282
Other practice location 2
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Past | Accepting new patients |
Locations
8 Town Center Dr
Bowling Green, MO 63334
Phone (573) 324-2241
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- kblank@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hannibal Regional Medical Group
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Multi-Specialty Clinic/Center
- Kirksville, MO
- NPI 1447789300
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
dba Hannibal Regional Hospital Home Health Agency
- Home Health Agency
- Hannibal, MO
- NPI 1992726731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1508214669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1259",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634011259",
"telephone_number": "573-629-3500",
"fax_number": "573-629-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 HOSPITAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016890",
"telephone_number": "573-629-3500",
"fax_number": "573-629-3370"
}
],
"practiceLocations": [
{
"address_1": "303 NW 11th St",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "IL",
"postal_code": "628371203",
"country_code": "US",
"telephone_number": "618-847-4282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627023757",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-1159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANK",
"first_name": "KORY",
"middle_name": "DANE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125.068544",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2025020901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.