DR. KENNETH VAUGHN ADAMS M.D.
NPI 1881696284
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since August 15, 2005PECOS Enrolled
91.62/100
CMS Quality Rating
14534 OLD SAINT AUGUSTINE RD STE 3420, JACKSONVILLE, FL 32258(904) 493-8001(904) 338-0852 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Mar 30, 2020, Nov 16, 2015 (3 updates tracked since 2015).

About Dr. Kenneth Vaughn Adams M.d. NPPES

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

DR. KENNETH VAUGHN ADAMS M.D. (NPI 1881696284) is an individual cardiovascular disease provider in Jacksonville, Florida, licensed in Florida (ME42068) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881696284
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KENNETH VAUGHN ADAMSCredential: M.D.
Location Address14534 OLD SAINT AUGUSTINE RD STE 3420Jacksonville, FL 32258-2616
Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 720-0599 · Fax (904) 376-4036
Fax(904) 338-0852
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1881696284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME42068
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
14534 OLD SAINT AUGUSTINE RD STE 3420, Jacksonville, FL 32258

Other Identifiers 2

Other110086217FL · Rr Medicare
Medicaid052984200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Vaughn Adams M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kenneth Adams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
2310 VILLAGE SQUARE PKWY STE 204
Fleming Island, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 107 clinicians in this Medicare group
Technician, Cardiology
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 54 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Interventional Cardiology)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Internal Medicine (Interventional Cardiology)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Internal Medicine (Cardiovascular Disease)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Nurse Practitioner (Family)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Internal Medicine (Cardiovascular Disease)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258
Internal Medicine (Interventional Cardiology)
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 32258

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 Adams's NPI number?

The NPI number for Kenneth Adams is 1881696284. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Kenneth Adams located?

Kenneth Adams practices at 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258. The listed phone number is (904) 493-8001.

What is Kenneth Adams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kenneth Adams enrolled in Medicare?

Yes. Kenneth Adams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Adams reassigns Medicare benefits to 2 organizations: Baptist Cardiology Inc (Fleming Island, FL) and Ecg Associates Of Jacksonville P A (Jacksonville, FL). 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 Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Adams was last updated on November 1, 2022. 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.