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

Q: 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.

Q: What is Kevin Renner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Renner was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 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: November 01, 2026.

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

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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

Phone(573) 785-4546

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

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.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. 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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Renner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile

1.6 mi

Podiatrist

2600 KANELL BLVD
Poplar Bluff, MO 63901

Reassigned Medicare billing, Missouri enrollment
8 clinicians in this Medicare group

NPI 1508838566 (573) 785-4546

Preferred Podiatry Group PC

384 mi

Podiatrist

225 W WASHINGTON ST STE 1500
Chicago, IL 60606

Reassigned Medicare billing, Illinois and Missouri enrollments
44 clinicians in this Medicare group

NPI 1316360613 (847) 504-5000

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 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

310 services98 patients

Removal of fingernails or toenails, 1-5 nails 11720

271 services86 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

271 services271 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.

269 services266 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

206 services72 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

187 services64 patients

Removal of noncancer thickened skin growth, 1 growth 11055

88 services27 patients

Removal of fingernails or toenails, 6 or more nails 11721

70 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

39 services39 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

Quality

67.94

Promoting Interoperability

Improvement Activities

Cost

45.25

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.

REBECCA COMPTON FNP

Nurse Practitioner (Family)

225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

JULIAETTA NICHOLE BRATTON PNP

Nurse Practitioner (Pediatrics)

225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

BIG SPRINGS MEDICAL ASSOCIATION

Clinic/Center (Federally Qualified Health Center (FQHC))

225 PHYSICIANS PARK STE 102
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

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.

Which organizations bill Medicare for Kevin Renner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Renner reassigns Medicare benefits to 2 organizations: (Poplar Bluff, MO) and Preferred Podiatry Group PC (Chicago, IL). 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 Kevin Renner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Renner accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kevin Renner 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.

When was this NPI record last updated?

The NPPES record for Kevin Renner was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.