DR. KENNETH MICHAEL KINGDON MD
NPI 1114067196
Emergency Medicine in Brewster, WA
About Dr. Kenneth Michael Kingdon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH MICHAEL KINGDON MD (NPI 1114067196) is an individual emergency medicine provider in Brewster, Washington, licensed in Washington (MD61498906) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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 Michael Kingdon 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kenneth Kingdon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brewster, WA 98812
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1043363591 (Washington)
- 238 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 711 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 127 clinicians in this Medicare group
Georgetown, TX 78626
- Reassigned Medicare billing, Texas enrollment
- 241 clinicians in this Medicare group
Pearsall, TX 78061
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Kenedy, TX 78119
- Reassigned Medicare billing, Texas enrollment
- 74 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98812 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kingdon's NPI number?
The NPI number for Kenneth Kingdon is 1114067196. It was assigned to this individual provider in the NPPES registry on February 7, 2007.
Where is Kenneth Kingdon located?
Kenneth Kingdon practices at PO Box 577, Brewster, WA 98812. The listed phone number is (509) 689-2517.
What is Kenneth Kingdon's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Kingdon enrolled in Medicare?
Yes. Kenneth Kingdon 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 Kingdon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kingdon reassigns Medicare benefits to 6 organizations: Okanogan Douglas County Hospital Dist 1 (Brewster, WA), The Vancouver Clinic Inc Ps (Vancouver, WA), Arlington Physician Services PA (Mansfield, TX), Ucp Physicians Of Central Texas, PLLC (Georgetown, TX), Frio Hospital Association (Pearsall, TX) and 1 more organization, listed in the Medicare section above. 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 Kingdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Kingdon accept?
Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Kenneth Kingdon 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.
When was this NPI record last updated?
The NPPES record for Kenneth Kingdon was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 Michael Kingdon, MD · NPI 1114067196
Emergency Medicine physician in Brewster, Washington. Individual provider, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1114067196 (Entity type: Individual)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD61498906 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 577, Brewster, WA 98812-0577
- **Phone:** (509) 689-2517
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Okanogan Douglas County Hospital Dist 1 (NPI 1730293689, Brewster, WA); The Vancouver Clinic Inc Ps (NPI 1992759427, Vancouver, WA); Arlington Physician Services PA (NPI 1093144610, Mansfield, TX); Ucp Physicians Of Central Texas, PLLC (NPI 1922289412, Georgetown, TX); Frio Hospital Association (NPI 1770210627, Pearsall, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** March 24, 2025
- **Other identifiers:** Medicaid 036126885 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1114067196) · Data from the CMS NPPES public registry.