DR. KENNETH LEE WILLEFORD M.D.
NPI 1912917865
Physical Medicine & Rehabilitation in Supply, NC

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
10 DOCTORS CIR, SUITE 2, SUPPLY, NC 28462(910) 755-6060(910) 939-1659 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Lee Willeford M.d. NPPES

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

DR. KENNETH LEE WILLEFORD M.D. (NPI 1912917865) is an individual physical medicine & rehabilitation provider in Supply, North Carolina, licensed in North Carolina (36621) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Brunswick Medical Center, and maintains a secondary practice location in North Myrtle Beach.

NPPES Registry Identity

NPI1912917865
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. KENNETH LEE WILLEFORDCredential: M.D.
Location Address10 DOCTORS CIR, SUITE 2Supply, NC 28462-4089
Mailing Address10 Doctors Cir, Suite 2Supply, NC 28462-4089 · (910) 755-6060 · Fax (910) 755-6061
Fax(910) 939-1659
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1988
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
NPI 1912917865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NC · 36621
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
10 DOCTORS CIR, Supply, NC 28462

Secondary Practice Location 1

Location 1416 Main StNorth Myrtle Beach, SC 29582-3024 · Phone (910) 755-6060 · Fax (910) 939-1659

Other Identifiers 1

Other016UXNC · Bcbs Nc

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 Lee Willeford M.d. 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 ID3375503089
PECOS Enrollment IDI20241115000079
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 22

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.

Injection, triamcinolone acetonide, preservative free, 1 mg J3300
Triamcinolone acetonide is a medication given through injection to reduce inflammation in various parts of the body. It's a steroid that helps alleviate symptoms like swelling, redness, and pain. This specific injection is preservative-free.
11,680 services166 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,020 services41 patients
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.
871 services238 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
396 services206 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
270 services171 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.
235 services166 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.94
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%533 patients4/55-star benchmark: 100%
Falls: Plan of Care
89%57 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%587 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 457 patients
Patients screened: 94% · 457 patients
100%61 patients5/55-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.

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.

Physical Medicine & Rehabilitation (Pain Medicine)
10 DOCTORS CIR, SUITE 2
SUPPLY, NC 28462
Social Worker (Clinical)
10 DOCTORS CIR
SUPPLY, NC 28462
Internal Medicine
10 DOCTORS CIR, SUITE 10-6
SUPPLY, NC 28462
Pediatrics
10 DOCTORS CIR, SUITE 6
SUPPLY, NC 28462

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 Willeford's NPI number?

The NPI number for Kenneth Willeford is 1912917865. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Kenneth Willeford located?

Kenneth Willeford practices at 10 Doctors Cir Suite 2, Supply, NC 28462. The listed phone number is (910) 755-6060.

What is Kenneth Willeford's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Kenneth Willeford enrolled in Medicare?

Yes. Kenneth Willeford 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 Willeford accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kenneth Willeford 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 Willeford affiliated with any hospitals?

According to CMS data, Kenneth Willeford is affiliated with Novant Health Brunswick Medical Center, J Arthur Dosher Memorial Hospital and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Willeford was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.