DR. KENNETH R THOMAS MD
NPI 1891900569
Urology in Starkville, MS

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
100 WILBURN WAY, STARKVILLE, MS 39759(662) 498-1400 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth R Thomas Md NPPES

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

DR. KENNETH R THOMAS MD (NPI 1891900569) is an individual urology provider in Starkville, Mississippi, licensed in Mississippi (21408) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2006).

NPPES Registry Identity

NPI1891900569
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. KENNETH R THOMASCredential: MD
Location Address100 WILBURN WAYStarkville, MS 39759-3692
Mailing Address6910 Ms Highway 389Starkville, MS 39759-7886 · (662) 498-1400
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 5, 2019
NPI 1891900569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MS · 21408
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 WILBURN WAY, Starkville, MS 39759

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

Dr. Kenneth R Thomas 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 ID6406025865
PECOS Enrollment IDI20110802000142
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 23

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.
505 services349 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
446 services312 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
341 services268 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
227 services198 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
160 services30 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
141 services103 patients

Hospital Affiliations CMS Care Compare 5

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Webster General Hospital/ Swing Bed

Acute Care Hospitals · Eupora, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250020
Location70 Medical PlazaEupora, MS 39744 · Webster County
Emergency services

Och Regional Medical Center

Acute Care Hospitals · Starkville, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250050
Location400 Hospital Road /Mail PO Box 1506Starkville, MS 39759 · Oktibbeha County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39759 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
61%223 patients3/55-star benchmark: 99%
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.
99%4,555 patients4/55-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
69%760 patients4/55-star benchmark: 90%
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…
93%1,641 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
82%726 patients4/55-star benchmark: 88%
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
Patients screenedForUse: 60% · 1,295 patients
Patients tobacco: 59% · 1,295 patients
90%100 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
59%310 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 760 patients
5%760 patients4/55-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 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier32 claims4,450 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier32 claims4,450 services$1.54 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.

Nurse Practitioner (Family)
100 WILBURN WAY
STARKVILLE, MS 39759
Nurse Practitioner (Family)
100 WILBURN WAY
STARKVILLE, MS 39759
Registered Nurse
100 WILBURN WAY
STARKVILLE, MS 39759
Orthopaedic Surgery
100 WILBURN WAY
STARKVILLE, MS 39759
Nurse Practitioner
100 WILBURN WAY
STARKVILLE, MS 39759
Orthopaedic Surgery
100 WILBURN WAY
STARKVILLE, MS 39759
Clinical Nurse Specialist (Gerontology)
100 WILBURN WAY
STARKVILLE, MS 39759
Nurse Practitioner (Family)
100 WILBURN WAY
STARKVILLE, MS 39759

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 Thomas's NPI number?

The NPI number for Kenneth Thomas is 1891900569. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kenneth Thomas located?

Kenneth Thomas practices at 100 Wilburn Way, Starkville, MS 39759. The listed phone number is (662) 498-1400.

What is Kenneth Thomas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kenneth Thomas enrolled in Medicare?

Yes. Kenneth Thomas 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 Thomas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kenneth Thomas 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 Thomas affiliated with any hospitals?

According to CMS data, Kenneth Thomas is affiliated with North Mississippi Medical Center, Webster General Hospital/ Swing Bed, Och Regional Medical Center, Clay County Medical Corporation and Bmh-Golden Triangle.

When was this NPI record last updated?

The NPPES record for Kenneth Thomas was last updated on July 5, 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.