Active NPI 1003904723 Individual Practitioner Male Practitioner

Kenneth W Starnes , PA

Physician Assistant • Piney Flats, TN

Professional Overview & Biography Verified Profile Summary

Kenneth Starnes, PA is a registered healthcare professional specializing in Physician Assistant in Piney Flats, TN. Practice services are available at 6419 BRISTOL HWY under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6419 Bristol Hwy

Piney Flats, TN 376865208

Telephone 4235385202

Fax 4235388208

Associated Practice Facility / Clinic

🏢 Wellmont Medical Associates Inc Facility NPI 1992596878

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Piney Flats, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Piney Flats, TN (3096 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	92	88	$1158.24	$94.20
99285 Emergency department visit for life threatening or functioning severity	64	64	$1687.00	$137.01
99283 Emergency department visit with low level of medical decision making	21	20	$728.00	$55.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	92	89	$1161.01	$97.47
99285 Emergency department visit for life threatening or functioning severity	49	49	$1687.00	$142.15
99283 Emergency department visit with low level of medical decision making	16	16	$728.00	$57.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.00	$87.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	72	71	$1259.58	$100.47
99285 Emergency department visit for life threatening or functioning severity	69	67	$1792.54	$145.76
99283 Emergency department visit with low level of medical decision making	35	34	$711.51	$59.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$79.00	$6.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	118	118	$1719.06	$147.01
99284 Emergency department visit with moderate level of medical decision making	93	88	$1185.20	$100.81
99283 Emergency department visit with low level of medical decision making	65	65	$692.35	$59.32
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	33	$80.45	$6.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	97	93	$2089.00	$143.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	43	$233.00	$85.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	36	$103.00	$7.05
99284 Emergency department visit with moderate level of medical decision making	34	34	$1416.00	$98.90
99283 Emergency department visit with low level of medical decision making	24	23	$747.00	$54.02
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	16	$151.00	$10.26
99291 Critical care, first 30-74 minutes	11	11	$2690.00	$184.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	130	127	$2044.89	$142.29
99284 Emergency department visit with moderate level of medical decision making	73	69	$1383.78	$96.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	64	60	$100.84	$7.02
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	54	49	$147.30	$10.14
99283 Emergency department visit with low level of medical decision making	53	47	$731.64	$50.93
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	13	13	$533.15	$36.30
99291 Critical care, first 30-74 minutes	11	11	$2661.27	$182.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	173	162	$1961.84	$138.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	86	82	$96.45	$6.74
99284 Emergency department visit with moderate level of medical decision making	75	73	$1326.48	$95.08
99283 Emergency department visit with low level of medical decision making	60	59	$697.58	$50.19
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	46	$142.14	$9.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$219.00	$84.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	149	136	$1635.63	$139.97
99284 Emergency department visit with moderate level of medical decision making	74	70	$1115.84	$94.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	67	62	$87.24	$6.89
99283 Emergency department visit with low level of medical decision making	56	56	$605.02	$49.12
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	15	$74.00	$9.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$219.00	$84.01

Medical Specialties & State Licenses

CMS Verified: 2022-07-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 11023

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TN PA1414

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1506303 (TN)

Commercial Insurance / Payer ID Rr Mdcr

P0141826 (TN)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Eden Villiard , FNP

Nurse Practitioner - Primary Care

NPI 1164144937

Family Nurse Practitioner

Timothy Zeolia , PA

Physician Assistant

NPI 1477565570

Physician Assistant

Joshua Compton , PA

Physician Assistant

NPI 1538409230

Physician Assistant

Mary Catherine Shipley , NP

Nurse Practitioner - Family

NPI 1578107181

Nurse Practitioner

Charles Willis , FNP

Nurse Practitioner - Family

NPI 1659795151

Family Nurse Practitioner

Dr. Coy Stone , MD

Family Medicine

NPI 1740356799

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2017

Registered at 6419 BRISTOL HWY, PINEY FLATS, TN 376865208 (Tel: 4235385202)

📍

Updated Business Mailing Address February 23, 2017

Registered at 6419 BRISTOL HWY, PINEY FLATS, TN 376865208 (Tel: 4235385202)

👤

Provider Name / Credentials Updated February 23, 2017

Recorded as KENNETH STARNES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #PA1414 in TN)

✅

NPI Profile Active March 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2015

Registered at 6419 BRISTOL HIGWAY, PINEY FLATS, TN 37686 (Tel: 4235385202)

📍

Updated Business Mailing Address March 27, 2015

Registered at 174 PEMBROKE CIRCLE, JONESBOROUGH, TN 37659 (Tel: 4235385205)

👤

Provider Name / Credentials Updated March 27, 2015

Recorded as KENNETH STARNES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2015

Physician Assistant (License #PA1414 in TN)

🟢

Initial NPI Registration & Enumeration October 10, 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: 1003904723

Entity Type:

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

Enumeration Date: October 10, 2006

Last Update: July 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6419 Bristol Hwy

Piney Flats, TN 376865208

Phone: 4235385202

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.