DR. KENNETH SCOTT EASTERS (DO) – Emergency Medicine Physician, NPI 1659440907

DR. KENNETH SCOTT EASTERS (DO) is a healthcare provider. based in Metter, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 10780 (GA). The NPI Number for DR. KENNETH SCOTT EASTERS (DO) is 1659440907

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH SCOTT EASTERS (DO)
NPI
1659440907
Phone
(912) 685-5741
Address
400 Cedar St
Enumeration Date
8 November 2006
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7066513232
Graduation Year
2019 (7 years ago)
PAC ID
4082717004
Group Practice PAC ID
5193620714
Professional Enrollment ID
I20220221000740
Address ID
GA309096521AU3651XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. KENNETH SCOTT EASTERS (DO)

  • 400 Cedar St

    Metter, GA 304393338

    Phone: (912) 685-5741

    Type: Location

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AF-1020

    AUGUSTA, GA 30912

    Phone: (706) 721-4467

    Fax: (706) 721-9081

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220221000740IEmergency MedicineGATBD
I20240822002094IEmergency MedicineSCTBD
I20250317001468IEmergency MedicineNCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making121120$0
99284Emergency department visit with moderate level of medical decision making3131$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193620714View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. KENNETH SCOTT EASTERS (DO)?
The registry entry for DR. KENNETH SCOTT EASTERS (DO) shows NPI 1659440907.
Quick check: is DR. KENNETH SCOTT EASTERS (DO) active?
Public NPPES data shows DR. KENNETH SCOTT EASTERS (DO) with an active NPI status right now.
What type of care does DR. KENNETH SCOTT EASTERS (DO) provide?
DR. KENNETH SCOTT EASTERS (DO)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH SCOTT EASTERS (DO) tied to Metter, Georgia?
If you are local to Metter, Georgia, DR. KENNETH SCOTT EASTERS (DO) may be relevant to your search.
Why is information missing for DR. KENNETH SCOTT EASTERS (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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