KENNETH TONYMON MD
NPI 1164472072
Neurological Surgery in Bentonville, AR

Active since May 11, 2006PECOS Enrolled
2900 MEDICAL CENTER PKWY STE 220, BENTONVILLE, AR 72712(479) 696-0966(479) 418-5330 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Sep 15, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Kenneth Tonymon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH TONYMON MD (NPI 1164472072) is an individual neurological surgery provider in Bentonville, Arkansas, licensed in Arkansas (C5586) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164472072
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameKENNETH TONYMONCredential: MD
Location Address2900 MEDICAL CENTER PKWY STE 220Bentonville, AR 72712-3213
Mailing AddressPo Box 8490Fayetteville, AR 72703-0009 · (870) 926-5010 · Fax (479) 301-2111
Fax(479) 418-5330
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 11, 20235 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1164472072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in AR · C5586 Licensed in ND · 14822
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2900 MEDICAL CENTER PKWY STE 220, Bentonville, AR 72712

Other Identifiers 1

Medicaid287021002AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Tonymon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72712 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
2900 MEDICAL CENTER PKWY STE 220
BENTONVILLE, AR 72712
Internal Medicine
2900 MEDICAL CENTER PKWY STE 220
BENTONVILLE, AR 72712

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 Tonymon's NPI number?

The NPI number for Kenneth Tonymon is 1164472072. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Kenneth Tonymon located?

Kenneth Tonymon practices at 2900 Medical Center Pkwy Ste 220, Bentonville, AR 72712. The listed phone number is (479) 696-0966.

What is Kenneth Tonymon's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Kenneth Tonymon enrolled in Medicare?

Yes. Kenneth Tonymon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Tonymon was last updated on May 11, 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.