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MR. KENNWORTH EATON II P.A.
NPI 1891984548
Physician Assistant in Hampton Bays, NY

Active since October 18, 2007PECOS Enrolled
84.47/100
CMS Quality Rating
240 W MONTAUK HWY, HAMPTON BAYS, NY 11946(631) 728-4500(631) 728-4564 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kennworth Eaton Ii P.a. NPPES

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

MR. KENNWORTH EATON II P.A. (NPI 1891984548) is an individual physician assistant in Hampton Bays, New York, licensed in New York (006619) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891984548
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNWORTH EATON IICredential: P.A.
Location Address240 W MONTAUK HWYHampton Bays, NY 11946-3510
Mailing Address240 W Montauk HwyHampton Bays, NY 11946-3510 · (631) 728-4500 · Fax (631) 728-4564
Phone(631) 728-4500
Fax(631) 728-4564
Sole ProprietorYes
Enumeration DateOctober 18, 2007
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1891984548 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 NY · 006619
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.
240 W MONTAUK HWY, Hampton Bays, NY 11946
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kennworth Eaton Ii P.a. 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.

Areas of Expertise CMS Part B claims 8

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.
149 services111 patients
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.
110 services78 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.
68 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
35 services34 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
20 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11946 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

EAST END ORAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-1300
GABRIEL R ARIOLA MD
Emergency Medicine
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-4500
DR. JACK ANDREW NELSON OMFS
Dentist (Oral and Maxillofacial Surgery)
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-1300
PRIME CARE MEDICAL OF LONG ISLAND, PC
Emergency Medicine
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-4500

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 Kennworth Eaton's NPI number?

The NPI number for Kennworth Eaton is 1891984548. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Kennworth Eaton located?

Kennworth Eaton practices at 240 W Montauk Hwy, Hampton Bays, NY 11946. The listed phone number is (631) 728-4500.

What is Kennworth Eaton's specialty?

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

Is Kennworth Eaton enrolled in Medicare?

Yes. Kennworth Eaton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kennworth Eaton was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.