KENNETH ARTHUR THOMPSON DO
NPI 1669489100
Obstetrics & Gynecology in Myrtle Beach, SC

Q: What is Kenneth Thompson's NPI number?

The NPI number for Kenneth Thompson is 1669489100. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Kenneth Thompson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Thompson was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 01, 2006PECOS Enrolled

5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579(843) 903-1010(843) 903-1015 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Jun 25, 2020, Sep 18, 2019 (3 updates tracked since 2019).

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About Kenneth Arthur Thompson Do NPPES

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

KENNETH ARTHUR THOMPSON DO (NPI 1669489100) is an individual obstetrics & gynecology provider in Myrtle Beach, South Carolina, licensed in North Carolina (2020-02536) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669489100

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameKENNETH ARTHUR THOMPSONCredential: DO

Location Address5010 CAROLINA FOREST BLVDMyrtle Beach, SC 29579-3579

Mailing Address300 Singleton Ridge RdConway, SC 29526-9142 · (843) 234-5139

Phone(843) 903-1010

Fax(843) 903-1015

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1669489100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NC · 2020-02536✔ Licensed in SC · 1032

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5010 CAROLINA FOREST BLVD, Myrtle Beach, SC 29579

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Other Identifiers 8

Other000000204502SC · Unison

Other408253SC · Wellcare

MedicaidGP4505SC

OtherP00689014SC · Rr Medicare

Other0165925SC · Ghi

Medicaid010321SC

Other5502655SC · Aetna

Medicaid5905507NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Arthur Thompson Do 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.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Thompson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Central Carolina Medical Group LLC

116 mi

Internal Medicine

4546 NC 87 S
Sanford, NC 27332

Reassigned Medicare billing, North Carolina enrollment
92 clinicians in this Medicare group

NPI 1962940064 (919) 499-5151

Quentin N Burdick Comprehensive Health Care Facility

1,496 mi

Rural

1300 HOSPITAL LOOP
Belcourt, ND 58316

Reassigned Medicare billing, Texas enrollment
193 clinicians in this Medicare group

NPI 1952346934 (701) 477-6111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29579 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 10

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

MARY E BYRD DNP, FNP-BC

Nurse Practitioner (Family)