KENNETH P WALWORTH III PA-C
NPI 1881096196
Physician Assistant in Owosso, MI

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
721 N SHIAWASSEE ST STE 201, OWOSSO, MI 48867(989) 725-8124(989) 723-1205 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth P Walworth Iii Pa-c NPPES

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

KENNETH P WALWORTH III PA-C (NPI 1881096196) is an individual physician assistant in Owosso, Michigan, licensed in Michigan (5601007136) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1881096196
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH P WALWORTH IIICredential: PA-C
Location Address721 N SHIAWASSEE ST STE 201Owosso, MI 48867-1632
Mailing Address1210 W Saginaw StLansing, MI 48915-1927
Fax(989) 723-1205
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2014
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1881096196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601007136
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
721 N SHIAWASSEE ST STE 201, Owosso, MI 48867

Other Identifiers 1

Medicaid1881096196MI

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 P Walworth Iii Pa-c 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 ID8820210768
PECOS Enrollment IDI20141110001964
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 2

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 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.
71 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services19 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES 2

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

Social Worker
721 N SHIAWASSEE ST STE 201
OWOSSO, MI 48867
Nurse Practitioner (Psychiatric/Mental Health)
721 N SHIAWASSEE ST STE 201
OWOSSO, MI 48867

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 Walworth's NPI number?

The NPI number for Kenneth Walworth is 1881096196. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Kenneth Walworth located?

Kenneth Walworth practices at 721 N Shiawassee St Ste 201, Owosso, MI 48867. The listed phone number is (989) 725-8124.

What is Kenneth Walworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Walworth enrolled in Medicare?

Yes. Kenneth Walworth 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 Walworth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kenneth Walworth 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 Walworth affiliated with any hospitals?

According to CMS data, Kenneth Walworth is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Walworth was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.