KENNETH R PARKER (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1457302564

KENNETH R PARKER (MD) is a healthcare provider. based in Evansville, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01037962A (IN). The NPI Number for KENNETH R PARKER (MD) is 1457302564

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R PARKER (MD)
NPI
1457302564
Phone
(812) 491-1307
Address
PO BOX 3276
Enumeration Date
13 May 2006
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8123859420
Graduation Year
1985 (41 years ago)
PAC ID
3678479359
Group Practice PAC ID
5991788069
Professional Enrollment ID
I20100617000655
Address ID
IN476701043PR1808XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,447 ANESTHESIOLOGY in IN

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Provider Addresses for KENNETH R PARKER (MD)

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477313276

    Phone: (812) 491-1307

    Fax: (812) 473-5822

    Type: Mailing

  • Saint Vincent Warrick Hospital, 1116, Millis Avenue, Boonville, Warrick County, Indiana, 47601, United States

    BOONVILLE, IN 476012204

    Phone: (812) 473-0181

    Fax: (812) 473-5822

    Type: Location

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: 2022-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100617000655IAnesthesiologyINTBD
I20221202001709IAnesthesiologyKYTBD

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
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back7137$0
00902Anesthesia for procedure on anus and rectum4847$0
00142Anesthesia for lens surgery4031$0
View full utilization report →

Insurance plans in this area (ZIP 47731)

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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: 5991788069View full group profile
NameSpecialtyState
Nurse PractitionerIN
Hematology/Oncology, Internal MedicineIN
Nurse PractitionerIN
P O D I A T R YIL
Nurse PractitionerIN
-CA
Pulmonary DiseaseIN
Nurse PractitionerIN
General SurgeryIN
Family PracticeIN

Reviews

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Frequently asked questions

Where can patients find KENNETH R PARKER (MD)'s NPI?
You can confirm KENNETH R PARKER (MD) with NPI 1457302564; it appears in the national provider directory.
Does this profile mean KENNETH R PARKER (MD) is currently active?
Yes — KENNETH R PARKER (MD) appears active in the national provider directory.
Does KENNETH R PARKER (MD) list a primary specialty?
If you are matching referrals, note Pain Medicine (Anesthesiology) Physician for KENNETH R PARKER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KENNETH R PARKER (MD)?
The page summarizes Evansville, Indiana for KENNETH R PARKER (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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