KENNETH WAYNE PONDER (M.D.) – Internal Medicine Physician, NPI 1124093737

Internal Medicine Physician

KENNETH WAYNE PONDER (M.D.) is a healthcare provider. based in Niceville, Florida. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0063310 (FL). The NPI Number for KENNETH WAYNE PONDER (M.D.) is 1124093737

Main info

Male

35 Years Of Experience

Accepts Medicare Assignment

Name

KENNETH WAYNE PONDER (M.D.)

NPI

1124093737

Phone

(850) 897-1223

Address

4566 E HIGHWAY 20

Enumeration Date

18 February 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1991 (35 years ago)

PAC ID

6709947344

Professional Enrollment ID

I20081202000109

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KENNETH WAYNE PONDER (M.D.)

4566 E HIGHWAY 20
STE 103
NICEVILLE, FL 325788838
Phone: (850) 897-1223
Fax: (850) 897-1237
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Provider's Procedures

KENNETH WAYNE PONDER (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	FL	90670	Pneumococcal vaccine for injection into muscle	69	69

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Frequently asked questions

What unique ID ties claims to KENNETH WAYNE PONDER (M.D.)?

NPI 1124093737 is assigned to KENNETH WAYNE PONDER (M.D.) under the national enumeration system.

Is KENNETH WAYNE PONDER (M.D.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Can you summarize KENNETH WAYNE PONDER (M.D.)'s specialty in plain language?

Clinically, the directory lists KENNETH WAYNE PONDER (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is KENNETH WAYNE PONDER (M.D.)'s primary listing?

We display Niceville, Florida because that is what the record indicates for KENNETH WAYNE PONDER (M.D.).

What if Niceville, Florida seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.