1. Home
  2. Directory
  3. Tennessee
  4. Crossville
  5. Internal Medicine
  6. NPI Profile

MR. KENNETH RUSSELL HARDIGAN MD
NPI 1437148582
Internal Medicine - Interventional Cardiology in Crossville, TN

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
100 LANTANA RD STE 202A, CROSSVILLE, TN 38555(931) 484-5141(865) 374-2074 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jul 24, 2023, Sep 27, 2022 and 1 more (4 updates tracked since 2018).

About Mr. Kenneth Russell Hardigan Md NPPES

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

MR. KENNETH RUSSELL HARDIGAN MD (NPI 1437148582) is an individual interventional cardiology provider in Crossville, Tennessee, licensed in Tennessee (65348) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1437148582
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMR. KENNETH RUSSELL HARDIGANCredential: MD
Location Address100 LANTANA RD STE 202ACrossville, TN 38555-1915
Mailing Address100 Lantana Rd Ste 202aCrossville, TN 38555-1915 · (931) 484-5141
Phone(931) 484-5141
Fax(865) 374-2074
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1978
Enumeration DateOctober 20, 2005
Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1437148582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TN · 65348
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 039120 (GA), 65348 (TN)
100 LANTANA RD STE 202A, Crossville, TN 38555
Open in Google Maps ↗

Secondary Practice Location 1

Location 16301 Abercorn StSavannah, GA 31405 · Phone (912) 352-8700 ext. 127 · Fax (912) 650-6805

Other Identifiers 3

Medicaid000852596AGA
MedicaidQ074573TN
Medicaid00627327GGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Russell Hardigan Md 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 ID6709896525
PECOS Enrollment IDI20221005003001
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Hardigan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group, Inc.
49 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.
122 services73 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.
87 services58 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
85 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services36 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%699 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%494 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%692 patients5/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%692 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%692 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MRS. REBECCA L SWAFFORD APN
Nurse Practitioner (Family)
100 LANTANA RD STE 202A
CROSSVILLE, TN 38555
Cumberland County (831) 484-5141
MR. VIANNEY EPINA VILLARUZ MD
Internal Medicine (Cardiovascular Disease)
100 LANTANA RD STE 202A
CROSSVILLE, TN 38555
Cumberland County (931) 484-5141
DR. HUNT DANDRIDGE ANDERSON MD
Internal Medicine (Interventional Cardiology)
100 LANTANA RD STE 202A
CROSSVILLE, TN 38555
Cumberland County (931) 484-5141

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 Hardigan's NPI number?

The NPI number for Kenneth Hardigan is 1437148582. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Kenneth Hardigan located?

Kenneth Hardigan practices at 100 Lantana Rd Ste 202A, Crossville, TN 38555. The listed phone number is (931) 484-5141.

What is Kenneth Hardigan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kenneth Hardigan enrolled in Medicare?

Yes. Kenneth Hardigan 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.

Which organization bills Medicare for Kenneth Hardigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Hardigan reassigns Medicare benefits to Covenant Medical Group, Inc. (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Hardigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Hardigan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kenneth Hardigan 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 Hardigan affiliated with any hospitals?

According to CMS data, Kenneth Hardigan is affiliated with Cumberland Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Hardigan was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.