KENNETH GLEN WALTON M. D.
NPI 1689783870
Plastic Surgery in Gainesville, GA

Q: What is Kenneth Walton's NPI number?

The NPI number for Kenneth Walton is 1689783870. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Kenneth Walton's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Walton was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 30, 2006PECOS EnrolledAccepts Medicare Assignment

82.55/100

CMS Quality Rating

1296 SIMS ST, SUITE B, GAINESVILLE, GA 30501(770) 534-1856 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kenneth Glen Walton M. D. NPPES

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

KENNETH GLEN WALTON M. D. (NPI 1689783870) is an individual plastic surgery provider in Gainesville, Georgia, licensed in Georgia (034490) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Emory University School Of Medicine (1988).

NPPES Registry Identity

NPI1689783870

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameKENNETH GLEN WALTONCredential: M. D.

Location Address1296 SIMS ST, SUITE BGainesville, GA 30501-3850

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 534-1856

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1988

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 21, 2020

NPPES CertifiedJuly 21, 2020

✔ NPI 1689783870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in GA · 034490

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1296 SIMS ST, Gainesville, GA 30501

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Other Identifiers 1

Medicaid00660646BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 Glen Walton M. D. 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 ID5092902205

PECOS Enrollment IDI20101214000074

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

Other Providers at the Same Location NPPES 13

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

NORTHEAST GEORGIA PLASTIC SURGERY ASSOCIATES, PLASTIC SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

1296 SIMS ST, SUITE B
GAINESVILLE, GA 30501

Hall County (770) 534-1856

MR. JEFFREY FRANCIS SKORPUT PT

Physical Therapist

1296 SIMS ST, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 297-1700

VICKI L SIMS PT

Physical Therapist

1296 SIMS ST, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 297-1700

JOANNE ELIZABETH HAMILTON PT

Physical Therapist

1296 SIMS ST, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 297-1700

GAIL WHONIC BSPT

Physical Therapist

1296 SIMS ST, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 297-1700

NORTHEAST GEORGIA PLASTIC SURGERY

Plastic Surgery

1296 SIMS ST, SUITE B
GAINESVILLE, GA 30501

Hall County (770) 534-1856

KRISTEN ELIZABETH BASINGER PT

Physical Therapist

1296 SIMS ST, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 297-1700

DR. SAM W RICHWINE JR. M. D.

Plastic Surgery

1296 SIMS ST, SUITE B
GAINESVILLE, GA 30501

Hall County (770) 534-1856

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 Walton's NPI number?

The NPI number for Kenneth Walton is 1689783870. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kenneth Walton located?

Kenneth Walton practices at 1296 Sims St Suite B, Gainesville, GA 30501. The listed phone number is (770) 534-1856.

What is Kenneth Walton's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kenneth Walton enrolled in Medicare?

Yes. Kenneth Walton 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 Walton accept?

Health plans from Alliant Health Plans, Inc. list Kenneth Walton 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 Walton affiliated with any hospitals?

According to CMS data, Kenneth Walton is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Walton was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.