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DR. KENNETH WAYNE KOOSER M.D.
NPI 1306920772
Family Medicine in Lacey, WA

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
4800 COLLEGE ST SE, LACEY, WA 98503(360) 486-2900 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2021, Jun 15, 2017 (2 updates tracked since 2017).

About Dr. Kenneth Wayne Kooser M.d. NPPES

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

DR. KENNETH WAYNE KOOSER M.D. (NPI 1306920772) is an individual family medicine provider in Lacey, Washington, licensed in Washington (MD60320788) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1306920772
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH WAYNE KOOSERCredential: M.D.
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 366-2983
Phone(360) 486-2900
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1306920772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60320788
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.
4800 COLLEGE ST SE, Lacey, WA 98503
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Other Identifiers 1

Medicaid1306920772UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Kenneth Wayne Kooser 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 ID1355533076
PECOS Enrollment IDI20130604000722
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 10

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.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
301 services46 patients
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.
253 services153 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
144 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
123 services123 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.
69 services62 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
38 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
10 suppliers44 claims107 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims24 services$0.84 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$5.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.90 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$10.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers42 claims42 services$189.37 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 20

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

JUMAN PARK DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
DR. ABRAHAM WUSEOK JEON DO
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Thurston County (360) 486-2900
GRIGORIY A ROZENFELD DO
Emergency Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
KAREN LEE NEWMAN
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-5722
IAN SERRATO
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-4500
MICHAELA JANE DE GROOT PT, DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
CARA ELIZABETH BARDWELL PA-C
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
STEPHANIE MARY DEMPSEY RN
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900

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 Kooser's NPI number?

The NPI number for Kenneth Kooser is 1306920772. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Kenneth Kooser located?

Kenneth Kooser practices at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 486-2900.

What is Kenneth Kooser's specialty?

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

Is Kenneth Kooser enrolled in Medicare?

Yes. Kenneth Kooser 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 Kooser accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kenneth Kooser 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 Kooser affiliated with any hospitals?

According to CMS data, Kenneth Kooser is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Kooser was last updated on June 16, 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.