1. Home
  2. Directory
  3. Pennsylvania
  4. Venetia
  5. Radiology
  6. NPI Profile

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

Active since July 12, 2005PECOS Enrolled
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: October 18, 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 Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas 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 (PECOS)

Kenneth Edgar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

29

Medicare enrollment records show Kenneth Edgar reassigns Medicare billing to 29 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
107 mi
Pediatrics
210 MEDICAL CENTER DRIVE
Philipsburg, PA 16866
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1811948367 (814) 342-8001
Winchester Radiologists PC
123 mi
Diagnostic Radiology
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1235123977 (540) 563-8750
Carilion Rockbridge Community Hospital
174 mi
Multi-Specialty
1 HEALTH CIR
Lexington, VA 24450
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1174636021 (540) 224-5125
Centra Medical Group, LLC
200 mi
Family Medicine
3300 RIVERMONT AVE
Lynchburg, VA 24503
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1649228966 (434) 200-3656
Carilion Giles Community Hospital
205 mi
Critical Access
159 HARTLEY WAY
Pearisburg, VA 24134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1194718304 (540) 921-6000
Carilion Medical Center
207 mi
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Carilion Tazewell Community Hospital
229 mi
General Acute Care Hospital
388 BEN BOLT AVE
Tazewell, VA 24651
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1427040328 (276) 988-8700
Mercy Diagnostic Imaging PC
255 mi
Diagnostic Radiology
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1477509768 (610) 237-4814
Columbus Radiology Physicians LLC
320 mi
Diagnostic Radiology
2400 E. 17TH STREET
Columbus, IN 47201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1467964718 (800) 841-4938
Stamford Health Medical Group Inc
348 mi
General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1154633980 (203) 276-7447

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 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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone 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

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 enrollment system.

Which organizations bill Medicare for Kenneth Edgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Edgar reassigns Medicare benefits to 29 organizations: Geisinger Clinic (Philipsburg, PA), Winchester Radiologists PC (Winchester, VA), Carilion Rockbridge Community Hospital (Lexington, VA), Centra Medical Group, LLC (Lynchburg, VA), Carilion Giles Community Hospital (Pearisburg, VA) and 24 more organizations, listed in the Medicare section above. Each 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 Edgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Edgar accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas and 5 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, St Vincent Healthcare, Concord Hospital- Laconia, Centra Health - Lynchburg Gen Hospital and Carilion 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 7 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.