DR. KENNETH JON KYSOR DPM
NPI 1073072112
Podiatrist - Foot & Ankle Surgery in Marksville, LA
About Dr. Kenneth Jon Kysor Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH JON KYSOR DPM (NPI 1073072112) is an individual foot & ankle surgery provider in Marksville, Louisiana, licensed in Louisiana (330032) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Avoyelles Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth Jon Kysor Dpm 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Kysor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marksville, LA 71351
- Reassigned Medicare billing, Louisiana enrollment
- 85 clinicians in this Medicare group
Marksville, LA 71351
- Reassigned Medicare billing, Louisiana enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avoyelles Hospital
Acute Care Hospitals · Marksville, LAMedicare 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kysor's NPI number?
The NPI number for Kenneth Kysor is 1073072112. It was assigned to this individual provider in the NPPES registry on March 18, 2019.
Where is Kenneth Kysor located?
Kenneth Kysor practices at 5541 Highway 1, Marksville, LA 71351. The listed phone number is (318) 240-7240.
What is Kenneth Kysor's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Kenneth Kysor enrolled in Medicare?
Yes. Kenneth Kysor 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.
Which organizations bill Medicare for Kenneth Kysor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kysor reassigns Medicare benefits to 2 organizations: Clhg-Avoyelles LLC (Marksville, LA) and Hawkeye Medical, LLC (Marksville, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Kysor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Kysor accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Kenneth Kysor 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 Kenneth Kysor affiliated with any hospitals?
According to CMS data, Kenneth Kysor is affiliated with Avoyelles Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Kysor was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kenneth Jon Kysor, DPM · NPI 1073072112
Foot & Ankle Surgery provider in Marksville, Louisiana. Individual provider, active in the CMS NPPES registry since March 18, 2019.
## Identity
- **NPI:** 1073072112 (Entity type: Individual)
- **Enumerated:** March 18, 2019
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 330032 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5541 HIGHWAY 1, Marksville, LA 71351-2650
- **Phone:** (318) 240-7240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clhg-Avoyelles LLC (NPI 1679134407, Marksville, LA); Hawkeye Medical, LLC (NPI 1952630360, Marksville, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kent State University College Of Podiatric Medicine, class of 2019
## Record status
- **NPPES last updated:** April 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073072112) · Data from the CMS NPPES public registry.