KENNETH L. REED DO
NPI 1942282736
Internal Medicine - Gastroenterology in Troy, OH

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
78.37/100
CMS Quality Rating
3130 N COUNTY ROAD 25A STE 109, TROY, OH 45373(937) 440-9292(937) 440-4227 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017, Jan 27, 2017 and 1 more (4 updates tracked since 2016).

About Kenneth L. Reed Do NPPES

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

KENNETH L. REED DO (NPI 1942282736) is an individual gastroenterology provider in Troy, Ohio, licensed in Ohio (34008140) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1942282736
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKENNETH L. REEDCredential: DO
Location Address3130 N COUNTY ROAD 25A STE 109Troy, OH 45373-1337
Mailing Address3130 N County Road 25a Ste 109Troy, OH 45373-1337 · (937) 440-9292 · Fax (937) 440-4227
Fax(937) 440-4227
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2002
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1942282736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 34008140
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34008140 (OH), 5101016292 (MI)
3130 N COUNTY ROAD 25A STE 109, Troy, OH 45373

Other Identifiers 1

Medicaid2523997OH

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

Kenneth L. Reed Do 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 ID7618934811
PECOS Enrollment IDI20041219000012
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 12

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
139 services138 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
113 services111 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
89 services88 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
73 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
55 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.63
Promoting Interoperability100
Improvement Activities40
Cost52.29

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
3130 N COUNTY ROAD 25A STE 109
TROY, OH 45373
Physician Assistant
3130 N COUNTY ROAD 25A STE 109
TROY, OH 45373
Internal Medicine (Gastroenterology)
3130 N COUNTY ROAD 25A STE 109
TROY, OH 45373

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 Reed's NPI number?

The NPI number for Kenneth Reed is 1942282736. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Kenneth Reed located?

Kenneth Reed practices at 3130 N County Road 25A Ste 109, Troy, OH 45373. The listed phone number is (937) 440-9292.

What is Kenneth Reed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Reed enrolled in Medicare?

Yes. Kenneth Reed 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 Reed accept?

Health plans from CareSource and MedMutual list Kenneth Reed 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 Reed affiliated with any hospitals?

According to CMS data, Kenneth Reed is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Reed was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.