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DR. KENNETH MICHAEL KINGDON MD
NPI 1114067196
Emergency Medicine in Brewster, WA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
PO BOX 577, BREWSTER, WA 98812(509) 689-2517 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Sep 17, 2024, Nov 11, 2015 (3 updates tracked since 2015).

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

NPI1114067196
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KENNETH MICHAEL KINGDONCredential: MD
Location AddressPO BOX 577Brewster, WA 98812-0577
Mailing AddressPo Box 577Brewster, WA 98812-0577 · (509) 689-2517 · Fax (509) 689-2086
Phone(509) 689-2517
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1114067196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · MD61498906✔ Licensed in TX · P4471
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSurgeryTaxonomy 208600000X · License P4471 (TX)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License P4471 (TX)
PO BOX 577, Brewster, WA 98812
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Other Identifiers 1

Medicaid036126885IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

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.

PECOS PAC ID6406014653
PECOS Enrollment IDI20240522003150
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 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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

What insurance does Kenneth Kingdon accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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 17 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.