KENNETH RANDAL PEARSON MD
NPI 1215029103
Pediatrics in Louisville, KY
About Kenneth Randal Pearson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH RANDAL PEARSON MD (NPI 1215029103) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (39864) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Kenneth Randal Pearson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Pearson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 clinicians in this Medicare group
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Norton Childrens Medical Group LLC
- 1,008 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pearson's NPI number?
The NPI number for Kenneth Pearson is 1215029103. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Kenneth Pearson located?
Kenneth Pearson practices at 9880 Angies Way Ste 400, Louisville, KY 40241. The listed phone number is (502) 394-6500.
What is Kenneth Pearson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kenneth Pearson enrolled in Medicare?
Yes. Kenneth Pearson 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 organizations bill Medicare for Kenneth Pearson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Pearson reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Pearson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Pearson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Kenneth Pearson 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.
When was this NPI record last updated?
The NPPES record for Kenneth Pearson was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kenneth Randal Pearson, MD · NPI 1215029103
Pediatrics physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1215029103 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 39864 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 9880 ANGIES WAY STE 400, Louisville, KY 40241-2850
- **Phone:** (502) 394-6500 · **Fax:** (502) 394-1920
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Community Medical Associates, Inc. (NPI 1073089850, Louisville, KY); Norton Children's Medical Group, LLC (NPI 1013559921, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** September 14, 2021
- **Other identifiers:** Other 50009443 (KY); Medicaid 64115017 (KY); Other 000000501261 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1215029103) · Data from the CMS NPPES public registry.