KENNETH W STARNES PA
NPI 1003904723
Physician Assistant in Piney Flats, TN

Q: What is Kenneth Starnes's NPI number?

The NPI number for Kenneth Starnes is 1003904723. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Kenneth Starnes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Starnes was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 10, 2006PECOS Enrolled

6419 BRISTOL HWY, PINEY FLATS, TN 37686(423) 538-5202(423) 538-8208 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2022, Feb 23, 2017 (2 updates tracked since 2017).

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About Kenneth W Starnes Pa NPPES

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

KENNETH W STARNES PA (NPI 1003904723) is an individual physician assistant in Piney Flats, Tennessee, licensed in Georgia (11023) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003904723

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH W STARNESCredential: PA

Location Address6419 BRISTOL HWYPiney Flats, TN 37686-5208

Mailing Address6419 Bristol HwyPiney Flats, TN 37686-5208 · (423) 538-5202 · Fax (423) 538-8208

Phone(423) 538-5202

Fax(423) 538-8208

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1003904723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 11023✔ Licensed in TN · PA1414

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6419 BRISTOL HWY, Piney Flats, TN 37686

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Other Identifiers 2

Medicaid1506303TN

OtherP0141826TN · Rr Mdcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth W Starnes Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Starnes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation

5.8 mi

Cardiovascular Disease

311 PRINCETON RD, SUITE 7
Johnson City, TN 37601

Physician assistant employed and billed by this organization, Virginia enrollment
337 clinicians in this Medicare group

NPI 1962434068 (423) 282-3236

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

92 services88 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

64 services64 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37686 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. EDEN MARIE VILLIARD FNP

Nurse Practitioner (Primary Care)