KENNETH H MULLEN MD
NPI 1922065721
Family Medicine in Lodi, CA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1901 W KETTLEMAN LN, # 200, LODI, CA 95242(209) 334-8540(209) 368-2885 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth H Mullen Md NPPES

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

KENNETH H MULLEN MD (NPI 1922065721) is an individual family medicine provider in Lodi, California, licensed in California (G27186) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1973).

NPPES Registry Identity

NPI1922065721
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH H MULLENCredential: MD
Location Address1901 W KETTLEMAN LN, # 200Lodi, CA 95242-4337
Mailing AddressPo Box 241011Lodi, CA 95241-9511 · (209) 339-7435 · Fax (209) 339-7858
Fax(209) 368-2885
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1973
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 14, 2012
NPI 1922065721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G27186
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 W KETTLEMAN LN, Lodi, CA 95242

Other Identifiers 2

Medicare UPINA43262CA
Medicare ID-Type Unspecified00G271862CA · Medicare Number

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

Kenneth H Mullen 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 ID1850288036
PECOS Enrollment IDI20040302001025
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

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$14.82 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$8.53 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 13

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

Health Educator
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
General Practice
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Hospitalist
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Nurse Practitioner (Family)
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
General Practice
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242

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 Mullen's NPI number?

The NPI number for Kenneth Mullen is 1922065721. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Kenneth Mullen located?

Kenneth Mullen practices at 1901 W Kettleman Ln # 200, Lodi, CA 95242. The listed phone number is (209) 334-8540.

What is Kenneth Mullen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Mullen enrolled in Medicare?

Yes. Kenneth Mullen 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.

When was this NPI record last updated?

The NPPES record for Kenneth Mullen was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.