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KENNETH FONDREN STARNES MD
NPI 1851772065
Family Medicine in Springfield, MO

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
1423 N JEFFERSON AVE STE B100, SPRINGFIELD, MO 65802(417) 269-8817(417) 269-8744 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1851772065
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH FONDREN STARNESCredential: MD
Location Address1423 N JEFFERSON AVE STE B100Springfield, MO 65802-1917
Mailing Address1423 N Jefferson Ave Ste B100Springfield, MO 65802-1917 · (417) 269-8817 · Fax (417) 269-8744
Phone(417) 269-8817
Fax(417) 269-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
✔ NPI 1851772065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2015017181
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1423 N JEFFERSON AVE STE B100, Springfield, MO 65802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.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 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.

PECOS PAC ID9032476270
PECOS Enrollment IDI20171127001573
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

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.
13 services12 patients

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, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy Hospital - Cassville

Critical Access Hospitals · Cassville, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261317
Location94 Main StreetCassville, MO 65625 · Barry County
Emergency services

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. KIMBERLY ZIEGLER M.D.
Family Medicine
1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 65802
Greene County (417) 269-8817
JAMIE N TRIBO M.D.
Family Medicine
1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 65802
Greene County (417) 269-8817
JUSTIN NOWLIN MD
Family Medicine
1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 65802
Greene County (417) 269-8817
DAYNA JETT MD
Family Medicine
1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 65802
Greene County (417) 269-8817

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.

What insurance does Kenneth Starnes accept?

Health plans from 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.