KENNETH PETER WALSH M.D.
NPI 1225458144
Surgery - Vascular Surgery in Mason City, IA

Q: What is Kenneth Walsh's NPI number?

The NPI number for Kenneth Walsh is 1225458144. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Q: What is Kenneth Walsh's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Walsh was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

250 S CRESCENT DR, MASON CITY, IA 50401(641) 494-5400(641) 494-5403 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, Aug 17, 2019 (2 updates tracked since 2019).

On this page

About Kenneth Peter Walsh M.d. NPPES

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

KENNETH PETER WALSH M.D. (NPI 1225458144) is an individual vascular surgery provider in Mason City, Iowa, licensed in Iowa (MD-54007) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Temple University School Of Medicine (2014).

NPPES Registry Identity

NPI1225458144

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameKENNETH PETER WALSHCredential: M.D.

Location Address250 S CRESCENT DRMason City, IA 50401-2926

Mailing Address250 S Crescent DrMason City, IA 50401-2926 · (641) 494-5400 · Fax (641) 494-5403

Phone(641) 494-5400

Fax(641) 494-5403

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2014

Enumeration DateApril 17, 2014

Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1225458144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in IA · MD-54007

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

250 S CRESCENT DR, Mason City, IA 50401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 Peter Walsh 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 ID2668878893

PECOS Enrollment IDI20250206003200, I20260209002170

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 14

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.

155 services104 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

60 services58 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.

57 services57 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

51 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services34 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.

43 services36 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.

40 services30 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

23 services22 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

17 services16 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

17 services17 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

14 services13 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.

12 services12 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161353

Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County

Emergency services Birthing friendly

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.66

Improvement Activities

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.

LISA HOLT PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5170

DR. RENE RECINOS M.D., PHD

Plastic Surgery

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5360

DR. ANGELA KAYE HARVEY AU.D.

Audiologist

250 S CRESCENT DR, #100
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5180

DR. MICHAEL W CRANE M.D.

Orthopaedic Surgery

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5210

KAITLYN ELIZABETH MCDERMITT PA-C

Physician Assistant

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5400

TRISHA LYNN TIBBITTS ARNP

Nurse Practitioner (Family)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5360

MASON CITY CLINIC PC

Otolaryngology

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (800) 622-1411

DR. BYRON T BEASLEY MD

Internal Medicine (Cardiovascular Disease)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5300

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 Walsh's NPI number?

The NPI number for Kenneth Walsh is 1225458144. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Kenneth Walsh located?

Kenneth Walsh practices at 250 S Crescent Dr, Mason City, IA 50401. The listed phone number is (641) 494-5400.

What is Kenneth Walsh's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kenneth Walsh enrolled in Medicare?

Yes. Kenneth Walsh 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 Walsh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Kenneth Walsh 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 Walsh affiliated with any hospitals?

According to CMS data, Kenneth Walsh is affiliated with Mercyone North Iowa Medical Center, Kossuth Regional Health Center, Hackensack University Medical Center, St Mary's General Hospital and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Kenneth Walsh was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.