KENNTH HYMES M.D.
NPI 1285626366
Internal Medicine - Hematology & Oncology in New York, NY

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
160 E 34TH ST, 7TH FL, NEW YORK, NY 10016(212) 731-5196 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennth Hymes M.d. NPPES

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

KENNTH HYMES M.D. (NPI 1285626366) is an individual hematology & oncology provider in New York, New York, licensed in New York (134319) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of State University Of Ny Upstate Medical University (1975).

NPPES Registry Identity

NPI1285626366
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKENNTH HYMESCredential: M.D.
Location Address160 E 34TH ST, 7TH FLNew York, NY 10016-4750
Mailing Address160 E 34th St, 7th FlNew York, NY 10016-4750 · (212) 731-5196
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1975
Enumeration DateAugust 16, 2005
Last NPPES UpdateDecember 18, 2014
NPI 1285626366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 134319
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
160 E 34TH ST, New York, NY 10016

Other Identifiers 3

Medicare UPINB13120NY
Medicare ID-Type Unspecified33D201NY
Medicaid01725626NY

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

Kennth Hymes 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 ID1052372026
PECOS Enrollment IDI20041022000592
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 8

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.
905 services397 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.
181 services149 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
98 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services51 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.
30 services21 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.
24 services11 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Clinic/Center (Oncology)
160 E 34TH ST
NEW YORK, NY 10016
Surgery (Surgical Oncology)
160 E 34TH ST, 4TH FLOOR
NEW YORK, NY 10016
Pharmacist (Ambulatory Care)
160 E 34TH ST
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST
NEW YORK, NY 10016
Obstetrics & Gynecology (Gynecologic Oncology)
160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST, 9TH FLOOR
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST
NEW YORK, NY 10016

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 Kennth Hymes's NPI number?

The NPI number for Kennth Hymes is 1285626366. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kennth Hymes located?

Kennth Hymes practices at 160 E 34th St 7th Fl, New York, NY 10016. The listed phone number is (212) 731-5196.

What is Kennth Hymes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kennth Hymes enrolled in Medicare?

Yes. Kennth Hymes 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.

Is Kennth Hymes affiliated with any hospitals?

According to CMS data, Kennth Hymes is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Kennth Hymes was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.