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KENNETH EDGAR MD
NPI 1649278904
Radiology - Diagnostic Radiology in Venetia, PA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
373 MCCOMBS RD, VENETIA, PA 15367(855) 687-7237 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2026, Dec 19, 2016 (2 updates tracked since 2016).

About Kenneth Edgar Md NPPES

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

KENNETH EDGAR MD (NPI 1649278904) is an individual diagnostic radiology provider in Venetia, Pennsylvania, licensed in Pennsylvania (MD065024L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1649278904
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKENNETH EDGARCredential: MD
Location Address373 MCCOMBS RDVenetia, PA 15367-1342
Mailing Address4040 E Camelback Rd Ste 250Phoenix, AZ 85018-8350 · (855) 687-7237
Phone(855) 687-7237
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1649278904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · MD065024L✔ Licensed in TX · T3273✔ Licensed in VA · 0101253287
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
373 MCCOMBS RD, Venetia, PA 15367
Open in Google Maps ↗

Other Identifiers 4

Other300084169PA · Railroad Medicare
Medicaid0016916930001PA
Medicaid2612622OH
Other000268720PA · Bc Bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kenneth Edgar 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 ID3577505023
PECOS Enrollment IDI20050525000683, I20140327001816
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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
76 services75 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
55 services54 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
27 services27 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
21 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services20 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15367 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Edgar's NPI number?

The NPI number for Kenneth Edgar is 1649278904. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Kenneth Edgar located?

Kenneth Edgar practices at 373 Mccombs Rd, Venetia, PA 15367. The listed phone number is (855) 687-7237.

What is Kenneth Edgar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Edgar enrolled in Medicare?

Yes. Kenneth Edgar 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 Edgar accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Kenneth Edgar 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 Edgar affiliated with any hospitals?

According to CMS data, Kenneth Edgar is affiliated with Columbus Regional Hospital, Concord Hospital- Laconia, Centra Health - Lynchburg Gen Hospital, Carilion Medical Center and Carilion New River Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Edgar was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.