DR. KEVIN M RENNER D.P.M.
NPI 1710305677
Podiatrist - Foot & Ankle Surgery in Poplar Bluff, MO

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
58.96/100
CMS Quality Rating
225 PHYSICIANS PARK STE 102, POPLAR BLUFF, MO 63901(573) 785-4546(573) 785-6959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 6, 2017 (2 updates tracked since 2017).

About Dr. Kevin M Renner D.p.m. NPPES

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

DR. KEVIN M RENNER D.P.M. (NPI 1710305677) is an individual foot & ankle surgery provider in Poplar Bluff, Missouri, licensed in Missouri (2017016516) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710305677
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KEVIN M RENNERCredential: D.P.M.
Location Address225 PHYSICIANS PARK STE 102Poplar Bluff, MO 63901-3918
Mailing Address225 Physicians Park Drive, Suite 102Poplar Bluff, MO 63901 · (573) 785-4546 · Fax (573) 785-6959
Fax(573) 785-6959
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1710305677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MO · 2017016516
225 PHYSICIANS PARK STE 102, Poplar Bluff, MO 63901

Other Identifiers 1

Other2017016516MO · Mo License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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. Kevin M Renner D.p.m. 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 ID2365766912
PECOS Enrollment IDI20170718001812, I20210316000569
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 14

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.

Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
3,240 services1,233 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
2,678 services1,041 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
1,907 services672 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
744 services321 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
539 services195 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
310 services98 patients

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.

58.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.94
Promoting Interoperability0
Improvement Activities40
Cost45.25

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%360 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901
Nurse Practitioner (Pediatrics)
225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901
Clinic/Center (Federally Qualified Health Center (FQHC))
225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901

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 Kevin Renner's NPI number?

The NPI number for Kevin Renner is 1710305677. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Kevin Renner located?

Kevin Renner practices at 225 Physicians Park Ste 102, Poplar Bluff, MO 63901. The listed phone number is (573) 785-4546.

What is Kevin Renner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin Renner enrolled in Medicare?

Yes. Kevin Renner 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.

When was this NPI record last updated?

The NPPES record for Kevin Renner was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.