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: July 19, 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 2024 & 2026 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.
52,841 services338 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.
4,620 services49 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
842 services189 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
669 services315 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.
576 services281 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.
417 services230 patients

Hospital Affiliations CMS Care Compare 2

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

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

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 96% 533
Falls: Plan of Care 89% 57
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 95% 587
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 457
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 61
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 457

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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912917865, enumerated as an "individual" on August 09, 2006.

The provider is located at 10 DOCTORS CIR SUITE 2 SUPPLY, NC 28462 and the phone number is (910) 755-6060.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC,. Please consult your insurance carrier or call the provider to verify.

Kenneth Willeford is affiliated with: NOVANT HEALTH BRUNSWICK MEDICAL CENTER and J ARTHUR DOSHER MEMORIAL HOSPITAL.