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

Q: 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.

Q: What is Kenneth Marshall's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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 maintains 2 additional practice locations.

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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Secondary Practice Locations 2

Location 17 E Main StGosport, IN 47433-7034 · Phone (812) 879-4222

Location 29 N Crane AveSpencer, IN 47460 · Phone (812) 829-2237

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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 IDI20210309001445

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 Marshall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.

22 mi

Multi-Specialty

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1073089850 (502) 588-9490

Harrison Memorial Hospital

50 mi

Clinic/Center

1210 KY HIGHWAY 36 E
Cynthiana, KY 41031

Reassigned Medicare billing, Kentucky enrollment
54 clinicians in this Medicare group

NPI 1386783868 (859) 234-2300

Harrison Memorial Hospital Inc

52 mi

Multi-Specialty

1210 KY HIGHWAY 36 E
Cynthiana, KY 41031

Reassigned Medicare billing, Kentucky enrollment
81 clinicians in this Medicare group

NPI 1669615233 (859) 234-2300

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 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 3

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

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180064

Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County

Emergency services Birthing friendly

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

Quality

Promoting Interoperability

100

Improvement Activities

Cost

52.71

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 4

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

ALISON GAIL BAILEY NP

Nurse Practitioner

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.

Which organizations bill Medicare for Kenneth Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Marshall reassigns Medicare benefits to 3 organizations: Community Medical Associates, Inc. (Louisville, KY), Harrison Memorial Hospital (Cynthiana, KY) and Harrison Memorial Hospital Inc (Cynthiana, KY). 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 Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan 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, Saint Joseph Mount Sterling 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.