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Active NPI 1881096196 Individual Practitioner Male Practitioner

Kenneth P Walworth , PA-C

Physician Assistant • Owosso, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Walworth, PA-C is a certified Physician Assistant practicing in Owosso, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Kenneth Walworth delivers high-quality medical care to the local community at 721 N SHIAWASSEE ST STE 201.

Kenneth Walworth is affiliated with Edward W Sparrow Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

721 N Shiawassee St Ste 201

Owosso, MI 488671632

Telephone 9897258124
Fax 9897231205
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Owosso, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -0.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Owosso, MI (7057 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walworth (12 Years) 12 Yrs
Owosso Specialty Average (12.1 Years) 12.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 14 $199.00 $103.21
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
42 14 $39.00 $13.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
38 19 $113.24 $64.06

Medical Specialties & State Licenses

CMS Verified: 2024-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601007136

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1881096196 (MI)

Hospital & Practice Group Affiliations

Edward W Sparrow Hospital Association

1210 W Saginaw St, Lansing, MI 489151927

Phone: 5173647700

Edward W Sparrow Hospital Association

1210 W Saginaw St, Lansing, MI 489151927

Phone: 5173647750

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jon Krueger , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033473749

Psychiatric-Mental Health Nurse Practitioner

Emily Munroe , LMSW

Social Worker - Clinical

NPI 1124547609

Licensed Master Social Worker

Heather Pierce , LMSW

Social Worker - Clinical

NPI 1568521698

Licensed Master Social Worker

Jodie Danek , LMSW

Social Worker

NPI 1578922324

Licensed Master Social Worker

Dr. Nazar Al-Saidi , MD

Psychiatry & Neurology - Psychiatry

NPI 1831158153

Doctor of Medicine (M.D.)

Dr. Gerri Hagadon-Szakal , MSN, CNP, DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1831193358

Master of Science in Nursing, Certified Nurse Practitioner, Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 23, 2024

Registered at 1210 W SAGINAW ST, LANSING, MI 489151927

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2014

Registered at 721 N SHIAWASSEE ST STE 201, OWOSSO, MI 488671632 (Tel: 9897258124)

📍
Updated Business Mailing Address October 24, 2014

Registered at 5535 DISCOVERY DR SE, KENTWOOD, MI 495086648

👤
Provider Name / Credentials Updated October 24, 2014

Recorded as KENNETH WALWORTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Physician Assistant (License #5601007136 in MI)

🟢
Initial NPI Registration & Enumeration September 17, 2014

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: 1881096196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2014
Last Update: April 23, 2024
Sole Proprietor: No

Mailing Address

1210 W Saginaw St

Lansing, MI 489151927

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.