DR. KENNETH CARL STAPLES JR. D.O.
NPI 1265824809
Emergency Medicine in Mullins, SC

Active since February 18, 2015PECOS Enrolled
2829 E HIGHWAY 76, MULLINS, SC 29574(843) 431-2000 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Jul 22, 2019 (2 updates tracked since 2019).

About Dr. Kenneth Carl Staples Jr. D.o. NPPES

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

DR. KENNETH CARL STAPLES JR. D.O. (NPI 1265824809) is an individual emergency medicine provider in Mullins, South Carolina, licensed in South Carolina (82113) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1265824809
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KENNETH CARL STAPLES JR.Credential: D.O.
Location Address2829 E HIGHWAY 76Mullins, SC 29574-6035
Mailing AddressPo Box 603898Charlotte, NC 28260-3898 · (843) 792-6200
Sole ProprietorNo
Enumeration DateFebruary 18, 2015
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1265824809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 82113
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2829 E HIGHWAY 76, Mullins, SC 29574

Secondary Practice Location 1

Location 15100 W Broad StColumbus, OH 43228-1607 · Phone (614) 544-1000 · Fax (614) 544-1751

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 (PECOS)

Dr. Kenneth Carl Staples Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
147 services136 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services66 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29574 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Emergency Medicine
2829 E HIGHWAY 76
MULLINS, SC 29574
Nurse Practitioner (Family)
2829 E HIGHWAY 76
MULLINS, SC 29574
Internal Medicine
2829 E HIGHWAY 76
MULLINS, SC 29574
Emergency Medicine
2829 E HIGHWAY 76
MULLINS, SC 29574
Emergency Medicine
2829 E HIGHWAY 76
MULLINS, SC 29574
Physician Assistant
2829 E HIGHWAY 76
MULLINS, SC 29574
Emergency Medicine
2829 E HIGHWAY 76, EMERGENCY DEPARTMENT
MULLINS, SC 29574
Radiology (Diagnostic Radiology)
2829 E HIGHWAY 76
MULLINS, SC 29574

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 Staples's NPI number?

The NPI number for Kenneth Staples is 1265824809. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is Kenneth Staples located?

Kenneth Staples practices at 2829 E Highway 76, Mullins, SC 29574. The listed phone number is (843) 431-2000.

What is Kenneth Staples's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Staples enrolled in Medicare?

Yes. Kenneth Staples is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Staples accept?

Health plans from Molina Healthcare list Kenneth Staples 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 Staples was last updated on January 26, 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.