Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH M OSBORN RPAC
NPI 1417939943
Physician Assistant - Medical in Springville, NY

Active since November 18, 2005PECOS Enrolled
210 E MAIN ST, SPRINGVILLE, NY 14141(716) 592-3614(716) 592-2929 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth M Osborn Rpac NPPES

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

MR. KENNETH M OSBORN RPAC (NPI 1417939943) is an individual medical provider in Springville, New York, licensed in New York (003354) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417939943
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH M OSBORNCredential: RPAC
Location Address210 E MAIN STSpringville, NY 14141-1442
Mailing Address210 E Main StSpringville, NY 14141-1442 · (716) 592-3614 · Fax (716) 592-2929
Fax(716) 592-2929
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1417939943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 003354
210 E MAIN ST, Springville, NY 14141

Other Identifiers 1

Medicaid01274304NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kenneth M Osborn Rpac 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 2

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.
54 services46 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.
20 services19 patients

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers12 claims15 services$6.60 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 10

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

Massage Therapist
210 E MAIN ST
SPRINGVILLE, NY 14141
Internal Medicine
210 E MAIN ST
SPRINGVILLE, NY 14141
Physician Assistant
210 E MAIN ST
SPRINGVILLE, NY 14141
Physician Assistant (Medical)
210 E MAIN ST
SPRINGVILLE, NY 14141
Internal Medicine
210 E MAIN ST
SPRINGVILLE, NY 14141
Family Medicine
210 E MAIN ST
SPRINGVILLE, NY 14141
Specialist
210 E MAIN ST
SPRINGVILLE, NY 14141
Physician Assistant
210 E MAIN ST
SPRINGVILLE, NY 14141

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 Osborn's NPI number?

The NPI number for Kenneth Osborn is 1417939943. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kenneth Osborn located?

Kenneth Osborn practices at 210 E Main St, Springville, NY 14141. The listed phone number is (716) 592-3614.

What is Kenneth Osborn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Osborn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Osborn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.