DR. KENNETH MARK ANDERSON DDS,MS
NPI 1245316017
Dentist - Oral and Maxillofacial Pathology in Memphis, TN
NPI Status: Active since October 27, 2006
Contact Information
875 UNION AVE
ROOM C309
MEMPHIS, TN
ZIP 38163
Phone: (901) 448-5876
Fax: (901) 448-6835
- Individual
- Male
- Dentist
- Oral and Maxillofacial Pathology
- Accepts Insurance
- PECOS Enrolled
About KENNETH ANDERSON
This page provides the complete NPI Profile along with additional information for Kenneth Anderson, a provider established in Memphis, Tennessee with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1245316017 assigned on October 2006. The practitioner's primary taxonomy code is 1223P0106X with license number DDS8053 (TN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1245316017
- Provider Name
- DR. KENNETH MARK ANDERSON DDS,MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 875 UNION AVE ROOM C309 MEMPHIS, TN 38163
- Location Phone
- (901) 448-5876
- Location Fax
- (901) 448-6835
- Mailing Address
- 875 UNION AVE RM C309 MEMPHIS, TN 38163
- Mailing Phone
- (901) 448-2569
- Mailing Fax
- (901) 448-6835
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2006
- Last Update Date
- 09-05-2019
- Code Navigator
A dentist like Kenneth Anderson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- DDS8053
- License State
- TN
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4075323 | OTHER (01) | TN | BCBS |
Medicare Participation & PECOS Enrollment Status
Kenneth Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Antibody evaluation, each additional single antibody stain procedure
Antibody evaluation, initial single antibody stain procedure
Pathology examination of tissue using a microscope, intermediate complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to identify organisms including interpretation and report
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
This service was performed 153 times for 36 patientsAn antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.
This service was performed 39 times for 36 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 364 times for 304 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 25 times for 24 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 26 times for 21 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 38163 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245316017, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
MEMPHIS, TN 38163
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245316017, enumerated as an "individual" on October 27, 2006.
The provider is located at 875 UNION AVE ROOM C309 MEMPHIS, TN 38163 and the phone number is (901) 448-5876.
Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Humana, Blue. Please consult your insurance carrier or call the provider to verify.
