KENNETH LUCKIE VANDERVOORT (MD) – Orthopaedic Surgery Physician, NPI 1912996158
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 ORTHOPEDIC SURGERY in AL
Loading map...
Provider Addresses for KENNETH LUCKIE VANDERVOORT (MD)
US Post Office Anniston MO, 1st Street, Anniston, Mississippi County, Missouri, 63820, United States
ANNISTON, AL 362021765
Phone: (256) 236-4121
Fax: (256) 237-5254
Type: Mailing
Tyler Center, 731, Leighton Avenue, Anniston, Calhoun County, Alabama, 36207, United States
STE 300
ANNISTON, AL 362075762
Phone: (256) 236-4121
Fax: (256) 237-5254
Type: Location
731 LEIGHTON AVE STE 300
ANNISTON, AL 362075762
Phone: (256) 236-4121
Fax: (256) 237-5254
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($67).
Total Amount
$377
General + Research + Ownership
Payments
14
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $67 |
| Ethicon US, LLC | $58 |
| Smith+Nephew, Inc. | $48 |
| Amgen Inc. | $47 |
| Bioventus LLC | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101103000192 | I | Orthopedic Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 593 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 527 | 281 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 428 | 181 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 354 | 57 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 275 | 143 | $0 |
Insurance plans in this area (ZIP 36202)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | AL | 20610 | Aspiration and/or injection of large joint or joint capsule | 602 | 297 |
| ORTHOPEDIC SURGERY | AL | 27447 | Repair of knee joint | 39 | 36 |
| ORTHOPEDIC SURGERY | AL | 73110 | X-ray of wrist, minimum of 3 views | 56 | 28 |
| ORTHOPEDIC SURGERY | AL | 73140 | X-ray of fingers, minimum of 2 views | 15 | 13 |
| ORTHOPEDIC SURGERY | AL | 73630 | X-ray of foot, minimum of 3 views | 48 | 34 |
| ORTHOPEDIC SURGERY | AL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 70 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Diagnostic Radiology | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Physical Therapist In Private Practice | AL | |
| Physician Assistant | AL | |
| Hand Surgery, Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Diagnostic Radiology | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.