DR. KENNETH CHARLES IVERSON M.D.
NPI 1124225479
Otolaryngology - Pediatric Otolaryngology in Lexington, KY

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 SOUTH LIMESTONE KENTUCKY CLINIC C300, LEXINGTON, KY 40536(859) 257-5405(859) 257-5096 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2022, Mar 25, 2016 (2 updates tracked since 2016).

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

NPI1124225479
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. KENNETH CHARLES IVERSONCredential: M.D.
Location Address740 SOUTH LIMESTONE KENTUCKY CLINIC C300Lexington, KY 40536-0293
Mailing Address800 Rose St # C236Lexington, KY 40536-0293 · (859) 257-5405 · Fax (859) 257-5096
Fax(859) 257-5096
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007
Enumeration DateJune 29, 2007
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
NPI 1124225479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in KY · 48196
Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 48196 (KY)
740 SOUTH LIMESTONE KENTUCKY CLINIC C300, Lexington, KY 40536

Other Identifiers 1

Medicaid7100357020KY

Accepted 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 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.

PECOS PAC ID3971746801
PECOS Enrollment IDI20150918000963
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.

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, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

What insurance does Kenneth Iverson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.