MR. KENNETH P SUNNERGREN M.D.
NPI 1720055122
Internal Medicine - Cardiovascular Disease in Lewes, DE

Active since March 03, 2006PECOS Enrolled
80.65/100
CMS Quality Rating
16704 KINGS HWY, LEWES, DE 19958(302) 645-1233(302) 645-1228 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth P Sunnergren M.d. NPPES

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

MR. KENNETH P SUNNERGREN M.D. (NPI 1720055122) is an individual cardiovascular disease provider in Lewes, Delaware, licensed in Delaware (C10005267) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Lewes.

NPPES Registry Identity

NPI1720055122
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. KENNETH P SUNNERGRENCredential: M.D.
Location Address16704 KINGS HWYLewes, DE 19958-4929
Mailing Address16704 Kings HwyLewes, DE 19958-4929 · (302) 645-1233 · Fax (302) 645-1228
Fax(302) 645-1228
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983
Enumeration DateMarch 3, 2006
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1720055122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in DE · C10005267
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
16704 KINGS HWY, Lewes, DE 19958

Secondary Practice Location 1

Location 1424 Savannah RdLewes, DE 19958-1462 · Phone (302) 645-1233 · Fax (302) 645-1228

Other Identifiers 1

Medicaid0000861801DE

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 (PECOS)

Mr. Kenneth P Sunnergren M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618005216
PECOS Enrollment IDI20100430000625
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 42

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 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.
1,394 services1,085 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,160 services1,016 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
900 services82 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
403 services55 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
361 services355 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
340 services153 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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.

80.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Improvement Activities40
Cost70.15

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Cardiovascular Disease)
16704 KINGS HWY
LEWES, DE 19958
Physician Assistant
16704 KINGS HWY
LEWES, DE 19958
Nurse Practitioner (Family)
16704 KINGS HWY
LEWES, DE 19958
Internal Medicine (Cardiovascular Disease)
16704 KINGS HWY
LEWES, DE 19958
Nurse Practitioner
16704 KINGS HWY
LEWES, DE 19958
Internal Medicine (Cardiovascular Disease)
16704 KINGS HWY
LEWES, DE 19958
Internal Medicine (Cardiovascular Disease)
16704 KINGS HWY
LEWES, DE 19958
Nurse Practitioner (Family)
16704 KINGS HWY
LEWES, DE 19958

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 Sunnergren's NPI number?

The NPI number for Kenneth Sunnergren is 1720055122. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Kenneth Sunnergren located?

Kenneth Sunnergren practices at 16704 Kings Hwy, Lewes, DE 19958. The listed phone number is (302) 645-1233.

What is Kenneth Sunnergren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kenneth Sunnergren enrolled in Medicare?

Yes. Kenneth Sunnergren is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Sunnergren accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Kenneth Sunnergren 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 Sunnergren affiliated with any hospitals?

According to CMS data, Kenneth Sunnergren is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Sunnergren was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.