KENNETH MAX EAKIN (M.D.) – Family Medicine Physician, NPI 1174529556

Family Medicine Physician

KENNETH MAX EAKIN (M.D.) is a healthcare provider. based in Glen carbon, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036066196 (IL). The NPI Number for KENNETH MAX EAKIN (M.D.) is 1174529556

Main info

Male

48 Years Of Experience

Accepts Medicare Assignment

Name

KENNETH MAX EAKIN (M.D.)

NPI

1174529556

Phone

(618) 288-5088

Address

3 JUNCTION DR W

Enumeration Date

22 June 2005

Last Update Date

30 April 2008

Doctor Profile

Medical School Name

UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE

Secondary Phone

6182885088

Graduation Year

1978 (48 years ago)

PAC ID

1254411838

Group Practice PAC ID

5193792018

Professional Enrollment ID

I20100222000566

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

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Provider Addresses for KENNETH MAX EAKIN (M.D.)

Junction Drive, Glen Carbon, Madison County, Illinois, 62034, United States
GLEN CARBON, IL 620342916
Phone: (618) 288-5088
Fax: (618) 288-9153
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.

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.

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

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.

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

Insurance plans in this area (ZIP 62034)

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Provider's Procedures

KENNETH MAX EAKIN (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	IL	81002	Urinalysis, manual test	16	14

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: 5193792018View full group profile

Name	Specialty	State
ALYSSA RUWE MARTZ	Nurse Practitioner	IL
Unknown Individual	-	IL
DR. RICHARD HENRY WIKIERA (D.O.)	General Surgery	IL
MICHAEL BARAJAS (PA)	-	IL
TIMOTHY J PENN (MD)	-	IL
PATRICE STATEN (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	IL
CHARLES A. LANE (MD)	General Surgery	IL
DR. MAFETH ARAULA LIM (DO)	Family Practice	MO
DR. PATRICK ZIMMERMANN (M.D.)	Family Practice	IL
TARA SUZANNE HILMES (NP)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

Can I use this page to confirm KENNETH MAX EAKIN (M.D.)'s NPI?

Yes. KENNETH MAX EAKIN (M.D.) is listed with NPI 1174529556 in the public NPI dataset.

Can I rely on KENNETH MAX EAKIN (M.D.) being an active provider?

As of the registry snapshot, KENNETH MAX EAKIN (M.D.) is marked active.

What taxonomy line describes KENNETH MAX EAKIN (M.D.)?

For research purposes, treat KENNETH MAX EAKIN (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is KENNETH MAX EAKIN (M.D.) based?

KENNETH MAX EAKIN (M.D.) is tied to Glen Carbon, Illinois in the data we show; additional addresses may exist on the full record.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.