Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174500151 Individual Practitioner Male Practitioner

Dr. Kenneth S Wayne , MD

Internal Medicine • Ottumwa, IA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wayne, MD is a registered healthcare professional specializing in Internal Medicine in Ottumwa, IA. Practice services are available at 1005 PENNSYLVANIA AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1005 Pennsylvania Ave
Suite 104

Ottumwa, IA 525016413

Telephone 6416824594
Fax 6416822123
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ottumwa, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Ottumwa, IA (907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
297 123 $199.74 $100.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
99 72 $272.73 $136.05
G0008 Administration of influenza virus vaccine
38 38 $48.00 $18.94
90662 Influenza vaccine split virus, preservative free
36 36 $83.83 $51.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
17 17 $386.00 $193.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IA 32349

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License IA 32349

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2169417 (IA)
Medicaid State Provider ID
1174500151 (IA)
Medicaid State Provider ID
0169417 (IA)
Medicaid State Provider ID
1169417 (IA)
Commercial Insurance / Payer ID Rr Medicare
110166527 (IA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Stanley Blew , MD

Internal Medicine

NPI 1093791030

Doctor of Medicine (M.D.)

Deborah Stephenson , ARNP

Nurse Practitioner - Family

NPI 1134443849

Advanced Registered Nurse Practitioner

Dr. Shazia Abbas , MD

Internal Medicine

NPI 1205086998

Doctor of Medicine (M.D.)

Dr. Jashim Ahmed , MD

Internal Medicine

NPI 1538145784

Doctor of Medicine (M.D.)

Dr. Steven Ellison , MD

Internal Medicine

NPI 1740267723

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2012

Registered at 1005 PENNSYLVANIA AVE, SUITE 104, OTTUMWA, IA 525016413 (Tel: 6416824594)

📍
Updated Business Mailing Address May 17, 2012

Registered at 1005 PENNSYLVANIA AVE, SUITE 104, OTTUMWA, IA 525016413 (Tel: 6416824594)

👤
Provider Name / Credentials Updated May 17, 2012

Recorded as KENNETH WAYNE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2012

Internal Medicine (License #32349 in IA)

🟢
Initial NPI Registration & Enumeration December 29, 2005

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: 1174500151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2005
Last Update: May 17, 2012
Sole Proprietor: No

Mailing Address

1005 Pennsylvania Ave, Suite 104

Ottumwa, IA 525016413

Phone: 6416824594

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.