KENNETH D CALHOUN MD
NPI 1225093222
Family Medicine in Louisville, KY

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9342 CEDAR CENTER WAY, LOUISVILLE, KY 40291(502) 239-3228(502) 231-2517 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, May 11, 2022, Oct 13, 2020 and 4 more (7 updates tracked since 2016).

About Kenneth D Calhoun Md NPPES

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

KENNETH D CALHOUN MD (NPI 1225093222) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (32818) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1225093222
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH D CALHOUNCredential: MD
Location Address9342 CEDAR CENTER WAYLouisville, KY 40291-4522
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 231-2517
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 20, 2006
Last NPPES UpdateSeptember 20, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1225093222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 32818
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 32818 (KY)
9342 CEDAR CENTER WAY, Louisville, KY 40291

Other Identifiers 12

Other000000606004Anthem / Nawcc
OtherP00181579KY · Railroad Medicare
Other000000350663Anthem / Nma
Other50022968Passport / Nawcc
Other000052155GHumana / Nma
Other3701992000Passport Advantage / Nawcc
Other009694Siho / Nma
Other50011928Passport / Nma
Other3588385001Cigna / Nma
Other1193581Cha / Nma
Other2760466000Passport Advantage / Nma
Medicaid64877350KY

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 D Calhoun 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 ID9234196445
PECOS Enrollment IDI20041220000113
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 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.
443 services237 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
276 services171 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
105 services52 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
84 services20 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
80 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services40 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40291 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers27 claims63 services$5.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims19 services$0.89 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 10

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

Family Medicine
9342 CEDAR CENTER WAY, CEDAR SPRINGS RETAIL CENTER
LOUISVILLE, KY 40291
Family Medicine
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Nurse Practitioner (Family)
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Nurse Practitioner (Family)
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Nurse Practitioner (Family)
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Family Medicine
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Nurse Practitioner (Family)
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291
Family Medicine
9342 CEDAR CENTER WAY
LOUISVILLE, KY 40291

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 Calhoun's NPI number?

The NPI number for Kenneth Calhoun is 1225093222. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Kenneth Calhoun located?

Kenneth Calhoun practices at 9342 Cedar Center Way, Louisville, KY 40291. The listed phone number is (502) 239-3228.

What is Kenneth Calhoun's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Calhoun enrolled in Medicare?

Yes. Kenneth Calhoun 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 Calhoun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kenneth Calhoun 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 Calhoun affiliated with any hospitals?

According to CMS data, Kenneth Calhoun is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Calhoun was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.