KENNETH RANDAL PEARSON MD
NPI 1215029103
Pediatrics in Louisville, KY

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
9880 ANGIES WAY STE 400, LOUISVILLE, KY 40241(502) 394-6500(502) 394-1920 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2021, Apr 2, 2021, Jan 20, 2021 and 3 more (6 updates tracked since 2016).

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

NPI1215029103
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH RANDAL PEARSONCredential: MD
Location Address9880 ANGIES WAY STE 400Louisville, KY 40241-2850
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5395 · Fax (502) 272-5339
Fax(502) 394-1920
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 14, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
NPI 1215029103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in KY · 39864
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9880 ANGIES WAY STE 400, Louisville, KY 40241

Other Identifiers 3

Other50009443KY · Passport Health Plan
Medicaid64115017KY
Other000000501261KY · Anthem

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 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.

PECOS PAC ID7618106014
PECOS Enrollment IDI20140205001365
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 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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.

Pediatrics
9880 ANGIES WAY STE 400
LOUISVILLE, KY 40241
Pediatrics
9880 ANGIES WAY STE 400
LOUISVILLE, KY 40241
Pediatrics
9880 ANGIES WAY STE 400
LOUISVILLE, KY 40241
Pediatrics
9880 ANGIES WAY STE 400
LOUISVILLE, KY 40241
Psychologist (Clinical)
9880 ANGIES WAY STE 400
LOUISVILLE, KY 40241

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.

What insurance does Kenneth Pearson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer 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 4 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.