KENNETH R LISTER MD
NPI 1730187980
Anesthesiology - Pain Medicine in Crossville, TN

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
49 CLEVELAND ST STE 230, CROSSVILLE, TN 38555(931) 210-5701(931) 210-5702 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Oct 4, 2022, Dec 7, 2020 and 1 more (4 updates tracked since 2018).

About Kenneth R Lister Md NPPES

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

KENNETH R LISTER MD (NPI 1730187980) is an individual pain medicine provider in Crossville, Tennessee, licensed in Tennessee (MD8024) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1976).

NPPES Registry Identity

NPI1730187980
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameKENNETH R LISTERCredential: MD
Location Address49 CLEVELAND ST STE 230Crossville, TN 38555-2854
Mailing Address49 Cleveland St Ste 230Crossville, TN 38555-2854 · (931) 210-5701 · Fax (931) 210-5702
Fax(931) 210-5702
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1976
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1730187980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TN · MD8024
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
49 CLEVELAND ST STE 230, Crossville, TN 38555

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 R Lister 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 ID6204832009
PECOS Enrollment IDI20111202000462
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 13

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.
100 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
82 services47 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.
57 services41 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
29 services21 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
24 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
49 CLEVELAND ST STE 230
CROSSVILLE, TN 38555

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 Lister's NPI number?

The NPI number for Kenneth Lister is 1730187980. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Kenneth Lister located?

Kenneth Lister practices at 49 Cleveland St Ste 230, Crossville, TN 38555. The listed phone number is (931) 210-5701.

What is Kenneth Lister's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kenneth Lister enrolled in Medicare?

Yes. Kenneth Lister 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 Lister accept?

Health plans from BlueCross BlueShield of Tennessee list Kenneth Lister 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 Lister affiliated with any hospitals?

According to CMS data, Kenneth Lister is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Lister was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.