KENNETH M HODGE (MD) – Otolaryngology Physician, NPI 1750388286

KENNETH M HODGE (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 01040152A (IN). The NPI Number for KENNETH M HODGE (MD) is 1750388286

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH M HODGE (MD)
NPI
1750388286
Phone
(502) 893-0159
Address
4004 DUPONT CIR
Enumeration Date
30 June 2005
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
50289301591188
Graduation Year
1981 (45 years ago)
PAC ID
4880737410
Group Practice PAC ID
2769525385
Professional Enrollment ID
I20100305000030
Address ID
KY402201409LO2944XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

179 OTOLARYNGOLOGY in KY

Provider Addresses for KENNETH M HODGE (MD)

  • 4004 DUPONT CIR

    SUITE 220

    LOUISVILLE, KY 402074819

    Phone: (502) 893-0159

    Fax: (502) 213-3853

    Type: Location

  • 2944 BRECKENRIDGE LN

    LOUISVILLE, KY 402201409

    Phone: (502) 893-0159

    Fax: (502) 213-3853

    Type: Mailing

  • Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States

    LOUISVILLE, KY 402950116

    Phone: (502) 893-0159

    Fax: (502) 213-3853

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Smith+Nephew, Inc. ($187).

Total Amount

$369

General + Research + Ownership

Payments

6

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-05

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
I20100222000772IOtolaryngologyINTBD
I20100305000030IOtolaryngologyKYTBD

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
95004Test for allergy using allergenic extract95123$0
95024Test for allergy using allergenic extract injected into skin75923$0
95117Professional service for multiple injections of allergen73297$0
99214Established patient office or other outpatient visit, 30-39 minutes234177$0
95115Professional service for single injection of allergen20333$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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Provider's Procedures

KENNETH M HODGE (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYKY95004Injection of allergenic extracts into skin, accessed through the skin31811
OTOLARYNGOLOGYKY95117Injection of incremental dosages of allergen, 2 or more injections18642

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: 2769525385View full group profile
NameSpecialtyState
Nurse PractitionerKY
Qualified AudiologistKY
Qualified AudiologistTX
Nurse PractitionerKY
Nurse PractitionerIN
-KY
Qualified AudiologistKY
Physician AssistantKY
Qualified AudiologistKY
Otolaryngology, Plastic And Reconstructive SurgeryKY

Reviews

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Frequently asked questions

Where can patients find KENNETH M HODGE (MD)'s NPI?
You can confirm KENNETH M HODGE (MD) with NPI 1750388286; it appears in the national provider directory.
Is KENNETH M HODGE (MD) currently active in the NPI registry?
CMS-published data lists KENNETH M HODGE (MD) as an active registrant.
What kind of provider is KENNETH M HODGE (MD)?
The page reflects Otolaryngology Physician for KENNETH M HODGE (MD). Clinical services aligned with this taxonomy classification.
Does KENNETH M HODGE (MD) practice in Kentucky?
You will see Louisville, Kentucky on file for KENNETH M HODGE (MD) alongside any extra practice locations.
What if Louisville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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