DR. KENNETH WENDELL PETERSEN D.O.
NPI 1568637395
Orthopaedic Surgery in Harrisonville, MO
About Dr. Kenneth Wendell Petersen D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH WENDELL PETERSEN D.O. (NPI 1568637395) is an individual orthopaedic surgery provider in Harrisonville, Missouri, licensed in Missouri (2013002819) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Golden Valley Memorial Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 and accepts Medicare assignment
Dr. Kenneth Wendell Petersen D.o. 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Golden Valley Memorial Hospital
Acute Care Hospitals · Clinton, MOCass Regional Medical Center
Critical Access Hospitals · Harrisonville, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
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 Petersen's NPI number?
The NPI number for Kenneth Petersen is 1568637395. It was assigned to this individual provider in the NPPES registry on April 23, 2008.
Where is Kenneth Petersen located?
Kenneth Petersen practices at 2820 E Rock Haven Rd Suite # 120, Harrisonville, MO 64701. The listed phone number is (816) 380-7662.
What is Kenneth Petersen's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Kenneth Petersen enrolled in Medicare?
Yes. Kenneth Petersen 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 Petersen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Kenneth Petersen 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 Petersen affiliated with any hospitals?
According to CMS data, Kenneth Petersen is affiliated with Golden Valley Memorial Hospital and Cass Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Petersen was last updated on October 8, 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.
# Dr. Kenneth Wendell Petersen, D.O. · NPI 1568637395
Orthopaedic Surgery physician in Harrisonville, Missouri. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1568637395 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 2013002819 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2820 E ROCK HAVEN RD, SUITE # 120, Harrisonville, MO 64701-4411
- **Phone:** (816) 380-7662
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 1999
## Record status
- **NPPES last updated:** October 8, 2014
- **Other identifiers:** Medicare PIN 033C466D (KS); Medicaid 200570110A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1568637395) · Data from the CMS NPPES public registry.