KENNETH CHAN D.O.
NPI 1720042138
Psychiatry & Neurology - Neurology in Jonesboro, AR

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
69.49/100
CMS Quality Rating
4802 E JOHNSON AVE, JONESBORO, AR 72401(870) 936-8000(870) 934-3635 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Chan D.o. NPPES

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

KENNETH CHAN D.O. (NPI 1720042138) is an individual neurology provider in Jonesboro, Arkansas, licensed in Arkansas (E-0805) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (1992).

NPPES Registry Identity

NPI1720042138
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameKENNETH CHANCredential: D.O.
Location Address4802 E JOHNSON AVEJonesboro, AR 72401-8413
Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-8000 · Fax (870) 934-3635
Fax(870) 934-3635
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1992
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 4, 2016
NPI 1720042138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AR · E-0805
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4802 E JOHNSON AVE, Jonesboro, AR 72401

Other Identifiers 3

Medicaid129976003AR
Medicare UPING33551AR
Medicare ID-Type Unspecified5K118AR

Accepted 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 Chan D.o. 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 ID8426040148
PECOS Enrollment IDI20040401001237
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 20

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
11,600 services27 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
4,488 services108 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,326 services37 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.
839 services444 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.
604 services424 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
509 services268 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

69.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.9
Promoting Interoperability80
Improvement Activities40
Cost59.08

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Obstetrics)
4802 E JOHNSON AVE
JONESBORO, AR 72401
Nurse Practitioner
4802 E JOHNSON AVE
JONESBORO, AR 72401
Nurse Practitioner
4802 E JOHNSON AVE
JONESBORO, AR 72401
Clinical Nurse Specialist (Adult Health)
4802 E JOHNSON AVE
JONESBORO, AR 72401
Audiologist
4802 E JOHNSON AVE
JONESBORO, AR 72401
Surgery
4802 E JOHNSON AVE
JONESBORO, AR 72401
Internal Medicine (Cardiovascular Disease)
4802 E JOHNSON AVE
JONESBORO, AR 72401
Physician Assistant
4802 E JOHNSON AVE
JONESBORO, AR 72401

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 Chan's NPI number?

The NPI number for Kenneth Chan is 1720042138. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Kenneth Chan located?

Kenneth Chan practices at 4802 E Johnson Ave, Jonesboro, AR 72401. The listed phone number is (870) 936-8000.

What is Kenneth Chan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kenneth Chan enrolled in Medicare?

Yes. Kenneth Chan 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 Chan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kenneth Chan 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 Kenneth Chan was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.