KENNETH EMCH DPM
NPI 1851398192
Podiatrist in Boardman, OH

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
8175 MARKET ST, BOARDMAN, OH 44512(330) 629-8800(330) 758-4914 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Emch Dpm NPPES

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

KENNETH EMCH DPM (NPI 1851398192) is an individual podiatrist in Boardman, Ohio, licensed in Ohio (36-00-2828) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1851398192
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameKENNETH EMCHCredential: DPM
Location Address8175 MARKET STBoardman, OH 44512-6244
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 626-6161 · Fax (419) 502-3511
Fax(330) 758-4914
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1993
Enumeration DateJuly 1, 2005
Last NPPES UpdateFebruary 21, 2019
NPI 1851398192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses Licensed in OH · 36-00-2828 Licensed in WV · 290 Licensed in PA · SC-00-3885
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
8175 MARKET ST, Boardman, OH 44512

Other Identifiers 6

Other1054389WV · Workers Comp
Medicaid6420070-0099858-000WV
Other000458128Highmark
Medicaid0940558OH
Medicaid01496133PA
Other4524850Aetna

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 Emch Dpm 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 ID6204724461
PECOS Enrollment IDI20040407001116, I20080808000441
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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
740 services204 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.
364 services148 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
174 services37 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
112 services69 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
90 services41 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
86 services32 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

East Liverpool City Hospital

Acute Care Hospitals · East Liverpool, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360096
Location425 West 5th StreetEast Liverpool, OH 43920 · Columbiana County
Emergency services

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%394 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
100%393 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
100%393 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,909 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%285 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%2,920 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%393 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%1,120 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
96%130 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%987 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
5 suppliers24 claims46 services$60.86 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
5 suppliers20 claims112 services$25.07 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers11 claims14 services$57.60 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 10

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

Podiatrist
8175 MARKET ST
YOUNGSTOWN, OH 44512
Nurse Practitioner
8175 MARKET ST
YOUNGSTOWN, OH 44512
Podiatrist (Foot & Ankle Surgery)
8175 MARKET ST
YOUNGSTOWN, OH 44512
Podiatrist (Foot & Ankle Surgery)
8175 MARKET ST
YOUNGSTOWN, OH 44512
Podiatrist (Primary Podiatric Medicine)
8175 MARKET ST
YOUNGSTOWN, OH 44512
Podiatrist (Foot & Ankle Surgery)
8175 MARKET ST
BOARDMAN, OH 44512
Internal Medicine (Rheumatology)
8175 MARKET ST
YOUNGSTOWN, OH 44512
Podiatrist (Foot & Ankle Surgery)
8175 MARKET ST, APT. 1B
YOUNGSTOWN, OH 44512

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 Emch's NPI number?

The NPI number for Kenneth Emch is 1851398192. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Kenneth Emch located?

Kenneth Emch practices at 8175 Market St, Boardman, OH 44512. The listed phone number is (330) 629-8800.

What is Kenneth Emch's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Emch enrolled in Medicare?

Yes. Kenneth Emch 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 Emch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Kenneth Emch 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 Emch affiliated with any hospitals?

According to CMS data, Kenneth Emch is affiliated with St Elizabeth Youngstown Hospital, East Liverpool City Hospital and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Kenneth Emch was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.