KENNETH GLEN WYS MD
NPI 1003929712
Internal Medicine - Critical Care Medicine in Indio, CA

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
47111 MONROE ST, INDIO, CA 92201(760) 347-6191(760) 775-8017 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Glen Wys Md NPPES

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

KENNETH GLEN WYS MD (NPI 1003929712) is an individual critical care medicine provider in Indio, California, licensed in California (A64344) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of University Of California, Davis School Of Medicine (1996).

NPPES Registry Identity

NPI1003929712
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameKENNETH GLEN WYSCredential: MD
Location Address47111 MONROE STIndio, CA 92201-6739
Mailing Address47111 Monroe StIndio, CA 92201-6739 · (760) 347-6191 · Fax (760) 775-8017
Fax(760) 775-8017
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1996
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 28, 2020
NPI 1003929712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · A64344
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A64344 (CA)
47111 MONROE ST, Indio, CA 92201

Secondary Practice Location 1

Location 1221 S Painted Mountain DrLas Vegas, NV 89148-2722 · Phone (323) 842-3442

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

Kenneth Glen Wys 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 ID6608760459
PECOS Enrollment IDI20040211001193
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92201 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Other Providers at the Same Location NPPES 20

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

Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Hospitalist
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Emergency Medicine
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Nurse Practitioner (Family)
47111 MONROE ST
INDIO, CA 92201

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 Kenneth Wys's NPI number?

The NPI number for Kenneth Wys is 1003929712. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Kenneth Wys located?

Kenneth Wys practices at 47111 Monroe St, Indio, CA 92201. The listed phone number is (760) 347-6191.

What is Kenneth Wys's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kenneth Wys enrolled in Medicare?

Yes. Kenneth Wys 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.

When was this NPI record last updated?

The NPPES record for Kenneth Wys was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.