KENNETH ROBERT SKORENKO M.D.
NPI 1790727279
Specialist in West Long Branch, NJ

NPI Status: Active since June 11, 2006

Contact Information

1019 BROADWAY
WEST LONG BRANCH, NJ
ZIP 07764
Phone: (732) 229-6797
Fax: (732) 229-6893

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  • Individual
  • Male
  • Years of Experience 44
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About KENNETH SKORENKO

This page provides the complete NPI Profile along with additional information for Kenneth Skorenko, a provider established in West Long Branch, New Jersey with a medical specialization in Specialist and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1790727279 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number MA42922 (NJ). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1790727279
Provider Name
KENNETH ROBERT SKORENKO M.D.
Gender
Male
Entity Type
Individual
Location Address
1019 BROADWAY WEST LONG BRANCH, NJ 07764
Location Phone
(732) 229-6797
Location Fax
(732) 229-6893
Mailing Address
36 MUSKET LN EATONTOWN, NJ 07724
Mailing Phone
(732) 222-5817
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
06-11-2006
Last Update Date
01-15-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MA42922
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C56421MEDICARE UPIN (02)NJ 
1218506MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
478324C8MMEDICARE ID-TYPE UNSPECIFIED (04)NJ 

Medicare Participation & PECOS Enrollment Status

Kenneth Skorenko is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kenneth Skorenko is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5092996108

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110223000223

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 89% 296
Cervical Cancer Screening 98% 561
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 29% 527
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 40% 881
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 711
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 711

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kenneth Skorenko is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MONMOUTH MEDICAL CENTER300 SECOND AVENUE
LONG BRANCH, NJ 07740
(732) 222-5200Acute Care Hospitals

Reviews for KENNETH ROBERT SKORENKO M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790727279, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 2 + 1 + 4 + 2 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790727279.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Obstetrics & Gynecology
1019 BROADWAY
W LONG BRANCH, NJ 07764
Obstetrics & Gynecology
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Obstetrics & Gynecology
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Nurse Practitioner (Women's Health)
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Nurse Practitioner (Women's Health)
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Advanced Practice Midwife
1019 BROADWAY
WEST LONG BRANCH, NJ 07764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790727279, enumerated as an "individual" on June 11, 2006.

The provider is located at 1019 BROADWAY WEST LONG BRANCH, NJ 07764 and the phone number is (732) 229-6797.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.

Kenneth Skorenko is affiliated with: MONMOUTH MEDICAL CENTER.