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DR. KENNETH EDWIN MARSHALL MD
NPI 1689952772
Family Medicine in Shelbyville, KY

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
150 FRANKFORT RD STE 103, SHELBYVILLE, KY 40065(502) 844-2888(502) 943-6503 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2021, Dec 18, 2020, Aug 17, 2018 (3 updates tracked since 2018).

About Dr. Kenneth Edwin Marshall Md NPPES

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

DR. KENNETH EDWIN MARSHALL MD (NPI 1689952772) is an individual family medicine provider in Shelbyville, Kentucky, licensed in Kentucky (26236) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Bourbon Community Hospital, and is a graduate of University Of Kentucky College Of Medicine (1986).

NPPES Registry Identity

NPI1689952772
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH EDWIN MARSHALLCredential: MD
Location Address150 FRANKFORT RD STE 103Shelbyville, KY 40065-7401
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 844-2888
Fax(502) 943-6503
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1986
Enumeration DateJuly 25, 2011
Last NPPES UpdateMarch 5, 20213 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1689952772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 26236✔ Licensed in TN · 037919✔ Licensed in IN · 01070385A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01070385A (IN)
150 FRANKFORT RD STE 103, Shelbyville, KY 40065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Dr. Kenneth Edwin Marshall 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 ID8921361197
PECOS Enrollment IDI20180423000639, I20210309001445
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 7

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.

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.
163 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Bourbon Community Hospital

Acute Care Hospitals · Paris, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180046
Location9 Linville DriveParis, KY 40361 · Bourbon County
Emergency services

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Promoting Interoperability100
Improvement Activities40
Cost52.71

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

KIMBERLY WRIGHT ARNP
Nurse Practitioner
150 FRANKFORT RD STE 103
SHELBYVILLE, KY 40065
Shelby County (502) 844-2888
VIRGINIA CATHERINE EVANS APRN, NP-C
Nurse Practitioner (Family)
150 FRANKFORT RD STE 103
SHELBYVILLE, KY 40065
Shelby County (502) 844-2888
KAELA MARIE TURLEY APRN
Nurse Practitioner (Family)
150 FRANKFORT RD STE 103
SHELBYVILLE, KY 40065
Shelby County (502) 844-2888

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 Marshall's NPI number?

The NPI number for Kenneth Marshall is 1689952772. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Kenneth Marshall located?

Kenneth Marshall practices at 150 Frankfort Rd Ste 103, Shelbyville, KY 40065. The listed phone number is (502) 844-2888.

What is Kenneth Marshall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Marshall enrolled in Medicare?

Yes. Kenneth Marshall 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 Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kenneth Marshall 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 Marshall affiliated with any hospitals?

According to CMS data, Kenneth Marshall is affiliated with Bourbon Community Hospital and Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Marshall was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.