KEVIN PRINCE (MD) – Emergency Medicine Physician, NPI 1447757943
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
Provider Addresses for KEVIN PRINCE (MD)
1 TRILLIUM WAY
CORBIN, KY 407018426
Phone: (606) 528-1212
Type: Mailing
Erlanger Health System, 975, East 3rd Street, Chattanooga, Hamilton County, Tennessee, 37403, United States
CHATTANOOGA, TN 37403
Phone: (423) 778-7628
Type: Mailing
1 Trillium Way
Corbin, KY 407018426
Phone: (606) 528-1212
Type: Location
1253 NW Canal Blvd
Redmond, OR 977561334
Phone: (541) 548-8131
Fax: (541) 460-4028
Type: Location
557 W WASHINGTON ST
BURNS, OR 977201441
Phone: (541) 573-7281
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: 2023-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230605001402 | I | Emergency Medicine | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 162 | 156 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 56 | 55 | $0 |
Insurance plans in this area (ZIP 40701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Internal Medicine | CA | |
| N E U R O L O G Y | OR | |
| Internal Medicine | OR | |
| - | OR | |
| P S Y C H I A T R Y | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Hospitalist | OR | |
| N E U R O L O G Y | OR |
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