KENNETH FONDREN STARNES MD
NPI 1851772065
Family Medicine in Springfield, MO
About Kenneth Fondren Starnes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH FONDREN STARNES MD (NPI 1851772065) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2015017181) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kenneth Fondren Starnes 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.
Medicare Billing Reassignments
10Medicare enrollment records show Kenneth Starnes reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Aurora, MO 65605
- Reassigned Medicare billing, Missouri enrollment
- 171 clinicians in this Medicare group
Cassville, MO 65625
- Reassigned Medicare billing, Missouri enrollment
- 151 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1003201955 (Missouri)
- 133 clinicians in this Medicare group
Berryville, AR 72616
- Reassigned Medicare billing, Arkansas enrollment
- 90 clinicians in this Medicare group
Houston, MO 65483
- Reassigned Medicare billing, Missouri enrollment
- 101 clinicians in this Medicare group
Mountain View, MO 65548
- Reassigned Medicare billing, Missouri enrollment
- 126 clinicians in this Medicare group
Shirley, AR 72153
- Reassigned Medicare billing, Arkansas enrollment
- 59 clinicians in this Medicare group
Camden, AR 71701
- Reassigned Medicare billing, Arkansas enrollment
- 100 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOMercy Hospital Springfield
Acute Care Hospitals · Springfield, MOMercy Hospital Aurora
Critical Access Hospitals · Aurora, MOMercy Hospital - Cassville
Critical Access Hospitals · Cassville, MOMercy St Francis Hospital
Critical Access Hospitals · Mountain View, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Starnes's NPI number?
The NPI number for Kenneth Starnes is 1851772065. It was assigned to this individual provider in the NPPES registry on June 12, 2015.
Where is Kenneth Starnes located?
Kenneth Starnes practices at 1423 N Jefferson Ave Ste B100, Springfield, MO 65802. The listed phone number is (417) 269-8817.
What is Kenneth Starnes's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kenneth Starnes enrolled in Medicare?
Yes. Kenneth Starnes 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 organizations bill Medicare for Kenneth Starnes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Starnes reassigns Medicare benefits to 10 organizations: Mercy Clinic Springfield Communities (Springfield, MO), Mercy Hospital Aurora (Aurora, MO), Mercy Hospital Cassville (Cassville, MO), Mercy Hospital Carthage (Carthage, MO), Mercy Hospital Berryville (Berryville, AR) and 5 more organizations, listed in the Medicare section above. Each 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 Starnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Starnes accept?
Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and Octave list Kenneth Starnes 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 Starnes affiliated with any hospitals?
According to CMS data, Kenneth Starnes is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Mercy Hospital Aurora, Mercy Hospital - Cassville and Mercy St Francis Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Starnes was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kenneth Fondren Starnes, MD · NPI 1851772065
Family Medicine physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since June 12, 2015.
## Identity
- **NPI:** 1851772065 (Entity type: Individual)
- **Enumerated:** June 12, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2015017181 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1423 N JEFFERSON AVE STE B100, Springfield, MO 65802-1917
- **Phone:** (417) 269-8817 · **Fax:** (417) 269-8744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Mercy Hospital Aurora (NPI 1467543090, Aurora, MO); Mercy Hospital Cassville (NPI 1285676932, Cassville, MO); Mercy Hospital Carthage (NPI 1558628222, Carthage, MO); Mercy Hospital Berryville (NPI 1457306326, Berryville, AR); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1851772065) · Data from the CMS NPPES public registry.