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KENNETH CARPENTER MD
NPI 1689723918
Emergency Medicine in Bloomington, IL

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3311 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Carpenter Md NPPES

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

KENNETH CARPENTER MD (NPI 1689723918) is an individual emergency medicine provider in Bloomington, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (2003).

NPPES Registry Identity

NPI1689723918
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH CARPENTERCredential: MD
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing AddressPo Box 758682Baltimore, MD 21275-0001
Phone(309) 662-3311
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2003
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 4, 2007
✔ NPI 1689723918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 E WASHINGTON ST, Bloomington, IL 61701
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Other Identifiers 2

Medicare UPINI67273IL
Medicare PINK34275IL

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 Carpenter 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 ID9739180043
PECOS Enrollment IDI20070129000406
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 5

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 with high level of medical decision making 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.
80 services78 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
44 services41 patients
Emergency department visit with moderate level of medical decision making 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.
43 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients
Emergency department visit with low level of medical decision making 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

KRISTA ELISABETH BAJJALIEH OTR/L
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
CRYSTAL LAMONT DNP, CRNA
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
DR. RICHARD SABBUN M.D.
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 665-5925
BAILEY WILSON
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-6275
MR. MICHAEL DANTI NOVARIO R.PH.
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-5191
MS. NARUMON HONGRATTANAVORAKIT
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-5190
YUWADEE H JOHNSON PHARMACY INTERN
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
TERRY M BRADY MD
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 Carpenter's NPI number?

The NPI number for Kenneth Carpenter is 1689723918. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Kenneth Carpenter located?

Kenneth Carpenter practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is Kenneth Carpenter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Carpenter enrolled in Medicare?

Yes. Kenneth Carpenter 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.

Is Kenneth Carpenter affiliated with any hospitals?

According to CMS data, Kenneth Carpenter is affiliated with Pekin Memorial Hospital and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Carpenter was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.