DR. KENNETH CHARLES IVERSON M.D.
NPI 1124225479
Otolaryngology - Pediatric Otolaryngology in Lexington, KY
About Dr. Kenneth Charles Iverson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH CHARLES IVERSON M.D. (NPI 1124225479) is an individual pediatric otolaryngology provider in Lexington, Kentucky, licensed in Kentucky (48196) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of South Carolina School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
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 Charles Iverson M.d. 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 Reassignment
Medicare enrollment records show Kenneth Iverson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 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.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYMedicare 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.
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 Iverson's NPI number?
The NPI number for Kenneth Iverson is 1124225479. It was assigned to this individual provider in the NPPES registry on June 29, 2007.
Where is Kenneth Iverson located?
Kenneth Iverson practices at 740 South Limestone Kentucky Clinic C300, Lexington, KY 40536. The listed phone number is (859) 257-5405.
What is Kenneth Iverson's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Kenneth Iverson enrolled in Medicare?
Yes. Kenneth Iverson 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 organization bills Medicare for Kenneth Iverson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Iverson reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The 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 Iverson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Iverson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kenneth Iverson 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 Iverson affiliated with any hospitals?
According to CMS data, Kenneth Iverson is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Iverson was last updated on October 28, 2022. 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 Charles Iverson, M.D. · NPI 1124225479
Pediatric Otolaryngology physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1124225479 (Entity type: Individual)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** 48196 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 740 SOUTH LIMESTONE KENTUCKY CLINIC C300, Lexington, KY 40536-0293
- **Phone:** (859) 257-5405 · **Fax:** (859) 257-5096
## 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:** Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** October 28, 2022
- **Other identifiers:** Medicaid 7100357020 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124225479) · Data from the CMS NPPES public registry.