KENNETH C ANDERSON MD
NPI 1205800034
Internal Medicine - Sleep Medicine in Louisville, KY

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4003 KRESGE WAY, STE 312, LOUISVILLE, KY 40207(502) 899-7377(502) 899-1972 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Dec 11, 2020 (2 updates tracked since 2020).

About Kenneth C Anderson Md NPPES

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

KENNETH C ANDERSON MD (NPI 1205800034) is an individual sleep medicine provider in Louisville, Kentucky, licensed in Kentucky (25175) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1205800034
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameKENNETH C ANDERSONCredential: MD
Location Address4003 KRESGE WAY, STE 312Louisville, KY 40207
Mailing Address4003 Kresge Way Ste 312Louisville, KY 40207-4652 · (502) 899-7377 · Fax (502) 899-1972
Fax(502) 899-1972
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateFebruary 16, 2006
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1205800034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in KY · 25175
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25175 (KY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 25175 (KY)
4003 KRESGE WAY, Louisville, KY 40207

Other Identifiers 3

Other290010998KY · Rr Medicare
Other1079146KY · Passport
Medicaid64251754KY

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

Kenneth C Anderson 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 ID8527963099
PECOS Enrollment IDI20031208000075
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 10

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.
641 services531 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
157 services132 patients
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.
109 services109 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.
86 services86 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
77 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services63 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers480 claims480 services$32.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers609 claims609 services$71.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
25 suppliers618 claims1,768 services$26.41 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers341 claims1,949 services$15.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
19 suppliers327 claims1,909 services$12.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers691 claims691 services$43.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery (Vascular Surgery)
4003 KRESGE WAY, SUITE 300
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY, SUITE 312
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY
LOUISVILLE, KY 40207
Otolaryngology
4003 KRESGE WAY, STE 227
LOUISVILLE, KY 40207
Physician Assistant
4003 KRESGE WAY, #221
LOUISVILLE, KY 40207
Radiology (Radiation Oncology)
4003 KRESGE WAY, SUITE 115
LOUISVILLE, KY 40207
Psychiatry & Neurology (Psychiatry)
4003 KRESGE WAY, STE 224
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY, STE 312
LOUISVILLE, KY 40207

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 Anderson's NPI number?

The NPI number for Kenneth Anderson is 1205800034. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 4003 Kresge Way Ste 312, Louisville, KY 40207. The listed phone number is (502) 899-7377.

What is Kenneth Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Kenneth Anderson enrolled in Medicare?

Yes. Kenneth Anderson 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 Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kenneth Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Kenneth Anderson is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Kenneth Anderson was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.