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KENNETH H EINHORN M.D.
NPI 1174565923
Otolaryngology in Abington, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
1245 HIGHLAND AVE, SUITE 502, ABINGTON, PA 19001(215) 886-1482(215) 886-1491 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth H Einhorn M.d. NPPES

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

KENNETH H EINHORN M.D. (NPI 1174565923) is an individual otolaryngology provider in Abington, Pennsylvania, licensed in Pennsylvania (MD043665E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Abington Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (1983).

NPPES Registry Identity

NPI1174565923
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKENNETH H EINHORNCredential: M.D.
Location Address1245 HIGHLAND AVE, SUITE 502Abington, PA 19001-3714
Mailing Address994 Old Eagle School Rd, Suite 1017Wayne, PA 19087-1802 · (610) 902-6092 · Fax (610) 902-6081
Phone(215) 886-1482
Fax(215) 886-1491
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1983
Enumeration DateJune 12, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1174565923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD043665E
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1245 HIGHLAND AVE, Abington, PA 19001
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Other Identifiers 3

Medicare ID-Type Unspecified183252PA
Medicare UPINE14763PA
Medicaid0011613740001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kenneth H Einhorn 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 ID7618995994
PECOS Enrollment IDI20060227000345
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
422 services330 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
178 services178 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
132 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services104 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
100 services96 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
64 services63 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
92%51 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
93%59 patients4/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%27 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,105 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%284 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%619 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
29%58 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%619 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%619 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MS. CATHERINE MCKENNA C.R.N.P.
Nurse Practitioner (Adult Health)
1245 HIGHLAND AVE, STE 302
ABINGTON, PA 19001
Montgomery County (215) 517-8850
ARTHUR MARK FRANKEL M.D.
Surgery
1245 HIGHLAND AVE
ABINGTON, PA 19001
Montgomery County (215) 886-1020
DR. THEODORE ROBERT SULLIVAN M.D.
Surgery (Vascular Surgery)
1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001
Montgomery County (215) 887-3990
DR. ROBERT A JUBELIRER MD
Surgery
1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001
Montgomery County (215) 887-3990
PHILIP A ROSENFELD M.D.
Otolaryngology
1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001
Montgomery County (215) 886-1482
ABINGTON REPRODUCTIVE MEDICINE
Obstetrics & Gynecology (Reproductive Endocrinology)
1245 HIGHLAND AVE, STE 404
ABINGTON, PA 19001
Montgomery County (215) 887-2010
JASON G WILMOTH M.D.
Otolaryngology
1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001
Montgomery County (215) 886-1482
DR. DIANE MARY OPATT M.D.
Surgery
1245 HIGHLAND AVE, SUITE 305
ABINGTON, PA 19001
Montgomery County (215) 481-7464

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 Einhorn's NPI number?

The NPI number for Kenneth Einhorn is 1174565923. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kenneth Einhorn located?

Kenneth Einhorn practices at 1245 Highland Ave Suite 502, Abington, PA 19001. The listed phone number is (215) 886-1482.

What is Kenneth Einhorn's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kenneth Einhorn enrolled in Medicare?

Yes. Kenneth Einhorn 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 Einhorn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kenneth Einhorn 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 Einhorn affiliated with any hospitals?

According to CMS data, Kenneth Einhorn is affiliated with Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Einhorn was last updated on May 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.