KENNETH TONYMON (MD) – Neurological Surgery Physician, NPI 1164472072
Neurological Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH TONYMON (MD)
601 W MAPLE AVE STE 505
SPRINGDALE, AR 727645376
Phone: (479) 757-3550
Type: Location
HSHS St Vincent Hospital
835 S. Van Buren Street
Green Bay, WI 54301
Phone: (920) 433-0111
Type: Location
2900 MEDICAL CENTER PKWY STE 220
BENTONVILLE, AR 727123213
Phone: (479) 696-0966
Fax: (479) 418-5330
Type: Location
Essentia Health Duluth
407 E. 3rd Street
Duluth, MN 55805
Phone: (218) 786-4000
Type: Location
Cheyenne Regional Medical Center
214 E. 23rd Street
Cheyenne, WY 82001
Phone: (307) 634-2273
Type: Location
Fayetteville Post Office, 250, Georgia Avenue East, Fenwyck, Fayetteville, Fayette County, Georgia, 30214, United States
FAYETTEVILLE, AR 727030009
Phone: (870) 926-5010
Fax: (479) 301-2111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,496.
Total Amount is formed as General ($1,496) + Research ($0) + Ownership ($0) = $1,496.
Last reported payment date: 2023-04-15 • Largest payer in this snapshot: ZIMVIE INC. ($1,469).
Total Amount
$1,496
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $1,469 |
| Relievant Medsystems, Inc. | $27 |
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: 2005-11-28
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 |
|---|---|---|---|---|
| I20051128000793 | I | Neurosurgery | AR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 11 | 11 | $0 |
Insurance plans in this area (ZIP 72764)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Orthopedic Surgery | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Thoracic Surgery | AR | |
| Orthopedic Surgery, Sports Medicine | AR | |
| Nurse Practitioner | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Orthopedic Surgery | AR |
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