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DR. KENNETH CARROLL PARKER M.D.
NPI 1841256765
Otolaryngology - Facial Plastic Surgery in Newark, OH

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
36 MCMILLEN DR, NEWARK, OH 43055(220) 564-4270(220) 564-4272 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2023, Feb 20, 2017, Jan 16, 2017 (3 updates tracked since 2017).

About Dr. Kenneth Carroll Parker M.d. NPPES

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

DR. KENNETH CARROLL PARKER M.D. (NPI 1841256765) is an individual facial plastic surgery provider in Newark, Ohio, licensed in Ohio (35-008826) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1841256765
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. KENNETH CARROLL PARKERCredential: M.D.
Location Address36 MCMILLEN DRNewark, OH 43055-1809
Mailing Address36 Mcmillen DrNewark, OH 43055-1809 · (220) 564-4270 · Fax (220) 564-4272
Phone(220) 564-4270
Fax(220) 564-4272
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2001
Enumeration DateApril 21, 2006
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
✔ NPI 1841256765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in OH · 35-008826✔ Licensed in OH · 35088266
Definition
An otolaryngologist who specializes in facial plastic surgery.
36 MCMILLEN DR, Newark, OH 43055
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Other Names 1

Other Name (5)Dr. Kenneth Carol Parker M.d.

Secondary Practice Location 1

Location 136 McMillen DrNewark, OH 43055-1809 · Phone (220) 564-4272

Other Identifiers 1

Medicaid2676279OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and more.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. Kenneth Carroll Parker M.d. 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 ID3971405184
PECOS Enrollment IDI20060919000008
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 Reassignment

Medicare enrollment records show Kenneth Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Licking Memorial Professional Corporation
0.2 mi
Anatomic Pathology & Clinical Pathology
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Licking Memorial Health Professionals
  • 280 clinicians in this Medicare group
NPI 1932186053 (740) 348-4266

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 9

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.
165 services114 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
125 services79 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.
119 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
89 services89 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
36 services30 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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. BRADLEY R LAWSON M.D.
Otolaryngology
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-4270
LICKING MEMORIAL PROFESSIONAL CORPORATION
Dermatology
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 348-1755
LYNNE DUVALL
Audiologist
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 344-1304
CHERYL B BARKER
Audiologist
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 344-1304

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 Parker's NPI number?

The NPI number for Kenneth Parker is 1841256765. It was assigned to this individual provider in the NPPES registry on April 21, 2006. The provider is also known as Dr. Kenneth Carol Parker M.D..

Where is Kenneth Parker located?

Kenneth Parker practices at 36 Mcmillen Dr, Newark, OH 43055. The listed phone number is (220) 564-4270.

What is Kenneth Parker's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Kenneth Parker enrolled in Medicare?

Yes. Kenneth Parker 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 organization bills Medicare for Kenneth Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Parker reassigns Medicare benefits to Licking Memorial Professional Corporation (Newark, OH). The 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 Kenneth Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Parker accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and Molina Healthcare list Kenneth Parker 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 Parker affiliated with any hospitals?

According to CMS data, Kenneth Parker is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Parker was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.