DR. KENNETH ERIC RUBY (MD) – Urology Physician, NPI 1063419133

DR. KENNETH ERIC RUBY (MD) is a healthcare provider. based in Somerset, Kentucky. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 34707 (KY). The NPI Number for DR. KENNETH ERIC RUBY (MD) is 1063419133

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ERIC RUBY (MD)
NPI
1063419133
Phone
(606) 677-8360
Address
30 MEDPARK SQUARE
Enumeration Date
5 July 2005
Last Update Date
16 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
6064510485
Graduation Year
1994 (32 years ago)
PAC ID
8527123694
Group Practice PAC ID
2567510464
Professional Enrollment ID
I20090224000764
Address ID
KY425031709SO30XXXDRXX401
Telehealth
Yes
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

156 UROLOGY in KY

Provider Addresses for DR. KENNETH ERIC RUBY (MD)

  • 30 MEDPARK SQUARE

    SUITE 1

    SOMERSET, KY 425033812

    Phone: (606) 677-8360

    Fax: (606) 677-8399

    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)

CMS reports 41 Open Payments records for all available years, with a total value of $881.

Total Amount is formed as General ($881) + Research ($0) + Ownership ($0) = $881.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($205).

Total Amount

$881

General + Research + Ownership

Payments

41

Total payment records

General Amount

$881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-02-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090224000764IUrologyKYTBD

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
81003Automated urinalysis test906672$0
99213Established patient office or other outpatient visit, 20-29 minutes596472$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg35540$0
36415Insertion of needle into vein for collection of blood sample269225$0
52000Diagnostic exam of bladder and urethra using an endoscope201179$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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Provider's Procedures

DR. KENNETH ERIC RUBY (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYKY55700Biopsy of prostate gland4040
UROLOGYKY76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3636

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: 2567510464View full group profile
NameSpecialtyState
General SurgeryCO
Internal MedicineKY
Physician AssistantTN
Physician AssistantKY
Interventional Pain ManagementKY
Internal MedicineKY
Physician AssistantKY
Endocrinology, Internal MedicineKY
Nurse PractitionerKY
-KY

Reviews

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Frequently asked questions

What federal number belongs to DR. KENNETH ERIC RUBY (MD)?
The federal identifier for DR. KENNETH ERIC RUBY (MD) is NPI 1063419133.
Is DR. KENNETH ERIC RUBY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. KENNETH ERIC RUBY (MD)'s specialty in plain language?
Clinically, the directory lists DR. KENNETH ERIC RUBY (MD) with Urology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KENNETH ERIC RUBY (MD)?
The snapshot lists Somerset, Kentucky for DR. KENNETH ERIC RUBY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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