Active NPI 1689783870 Individual Practitioner Male Practitioner

Dr. Kenneth Glen Walton , MD

Plastic Surgery • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Walton, MD is a certified Plastic Surgery practicing in Gainesville, GA. With approximately 38 years of clinical experience since graduating from Emory University School Of Medicine in 1988, Dr. Walton delivers high-quality medical care to the local community at 1296 SIMS ST.

Dr. Walton is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1296 Sims St
Suite B

Gainesville, GA 305013850

Telephone 7705341856

Associated Practice Facility / Clinic

🏢 Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center Facility NPI 1023039385

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +9.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Gainesville, GA (190 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walton (38 Years) 38 Yrs

Gainesville Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$236.00	$104.26
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$157.00	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$217.40	$106.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$130.00	$86.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$217.00	$107.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$217.00	$107.51
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$128.00	$87.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$88.00	$53.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$207.32	$103.62
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$153.00	$72.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$204.00	$104.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$205.60	$103.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$191.00	$103.80
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$153.00	$70.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$83.00	$42.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$193.29	$101.76
11042 Removal of skin and tissue, 20.0 sq cm or less	29	27	$286.00	$58.77
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$153.00	$69.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$83.00	$41.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$191.00	$102.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$215.00	$133.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$117.00	$71.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	119	42	$286.00	$58.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$192.34	$101.52
99213 Established patient office or other outpatient visit, typically 15 minutes	55	28	$153.00	$49.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$191.00	$99.95
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$153.00	$69.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$83.00	$40.90
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$132.00	$70.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$215.00	$132.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$292.00	$156.49

Medical Specialties & State Licenses

CMS Verified: 2020-07-21

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 034490

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00660646B (GA)

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Arden Hothem , MD

Plastic Surgery

NPI 1033128186

Doctor of Medicine (M.D.)

Dr. Martin Bremer , DO

Anesthesiology

NPI 1104993534

Doctor of Osteopathic Medicine (D.O.)

Dr. Ed Abell , MD

Plastic Surgery

NPI 1184733370

Doctor of Medicine (M.D.)

Dr. Donald Campbell , MD

Plastic Surgery

NPI 1225185028

Doctor of Medicine (M.D.)

Rileigh Whitmore , PA

Physician Assistant - Surgical

NPI 1316889488

Physician Assistant

Dr. Emily Schaheen , MD, PhD

Orthopaedic Surgery

NPI 1326304882

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address July 21, 2020

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1296 SIMS ST, SUITE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1296 SIMS ST, SUITE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH WALTON, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #034490 in GA)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689783870

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: July 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.