KENNETH KEARNS M.D.
NPI 1942417936
Orthopaedic Surgery in King Of Prussia, PA
About Kenneth Kearns M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH KEARNS M.D. (NPI 1942417936) is an individual orthopaedic surgery provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (MD437656) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Toledo Medical College (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Kearns 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Kearns reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 241 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Redeemer Hospital And Medical Center
Acute Care Hospitals · Meadowbrook, PAHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PABryn Mawr Hospital
Acute Care Hospitals · Bryn Mawr, PAThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PASt Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
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 Kearns's NPI number?
The NPI number for Kenneth Kearns is 1942417936. It was assigned to this individual provider in the NPPES registry on May 17, 2007.
Where is Kenneth Kearns located?
Kenneth Kearns practices at 950 Pulaski Dr Ste 100, King Of Prussia, PA 19406. The listed phone number is (610) 768-5940.
What is Kenneth Kearns's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Kenneth Kearns enrolled in Medicare?
Yes. Kenneth Kearns 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.
Which organizations bill Medicare for Kenneth Kearns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kearns reassigns Medicare benefits to 2 organizations: Premier Orthopaedic And Sports Medicine Associates, Ltd (Newtown Square, PA) and Fka Phc, LLP (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Kearns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Kearns accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Kenneth Kearns 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 Kearns affiliated with any hospitals?
According to CMS data, Kenneth Kearns is affiliated with Holy Redeemer Hospital And Medical Center, Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Thomas Jefferson University Hospital and St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Kearns was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.