DR. KENNETH W KELLOUGH M.D.
NPI 1609815000
Internal Medicine in Clarksdale, MS

Active since June 04, 2006PECOS Enrolled
100/100
CMS Quality Rating
705 N STATE ST, CLARKSDALE, MS 38614(662) 621-2192(662) 621-2314 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth W Kellough M.d. NPPES

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

DR. KENNETH W KELLOUGH M.D. (NPI 1609815000) is an individual internal medicine provider in Clarksdale, Mississippi, licensed in Mississippi (16776) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609815000
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH W KELLOUGHCredential: M.D.
Location Address705 N STATE STClarksdale, MS 38614-6519
Mailing Address705 N State StClarksdale, MS 38614-6519 · (662) 621-2192 · Fax (662) 621-2314
Fax(662) 621-2314
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateDecember 3, 2009
NPI 1609815000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 16776
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

705 N STATE ST, Clarksdale, MS 38614

Other Identifiers 3

Medicare UPING95515
Medicare PIN110001771MS
Medicaid00121009MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth W Kellough M.d. 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 3

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
606 services492 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
238 services195 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
73 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.72
Improvement Activities40
Cost81.58

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
10%20 patients4/55-star benchmark: 100%
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
91%58 patients
Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
71%24 patients
Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
95%22 patients
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 4

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

Internal Medicine
705 N STATE ST
CLARKSDALE, MS 38614
Health Maintenance Organization
705 N STATE ST
CLARKSDALE, MS 38614
Clinic/Center (Primary Care)
705 N STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
705 N STATE ST
CLARKSDALE, MS 38614

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 Kellough's NPI number?

The NPI number for Kenneth Kellough is 1609815000. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Kenneth Kellough located?

Kenneth Kellough practices at 705 N State St, Clarksdale, MS 38614. The listed phone number is (662) 621-2192.

What is Kenneth Kellough's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Kellough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Kellough was last updated on December 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.