KENNETH G AMMONS (DPM) – Podiatrist, NPI 1043270176

KENNETH G AMMONS (DPM) is a healthcare provider. based in Saint paul, Minnesota. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. 633 (MN). The NPI Number for KENNETH G AMMONS (DPM) is 1043270176

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH G AMMONS (DPM)
NPI
1043270176
Phone
(651) 232-4800
Address
1690 UNIVERSITY AVE W
Enumeration Date
24 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
3870572159
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20040719001534
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 G AMMONS (DPM)

  • University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SUITE 570

    SAINT PAUL, MN 551043723

    Phone: (651) 232-4800

    Fax: (651) 232-4899

    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 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Orthofix Medical, Inc. ($26).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2004-07-19

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
I20040719001534IPodiatryMNTBD

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
99203New patient office or other outpatient visit, 30-44 minutes114114$0
99213Established patient office or other outpatient visit, 20-29 minutes8370$0
J1100Injection, dexamethasone sodium phosphate, 1 mg6412$0
73630X-ray of foot, minimum of 3 views4630$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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Provider's Procedures

KENNETH G AMMONS (DPM) performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMN73630X-ray of foot, minimum of 3 views3425

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: 3971407636View full group profile
NameSpecialtyState
Pulmonary DiseaseCO
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)IL
-MN
-MN
-MN
Internal MedicineMN
-MN
Family PracticeMN

Reviews

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Frequently asked questions

How do I look up KENNETH G AMMONS (DPM) by NPI?
Use NPI 1043270176 when you need to reference KENNETH G AMMONS (DPM) in forms, claims, or directories.
Is KENNETH G AMMONS (DPM)'s NPI currently valid?
The extract we use shows KENNETH G AMMONS (DPM) as active.
What does KENNETH G AMMONS (DPM) treat or focus on?
Patients typically see KENNETH G AMMONS (DPM) under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH G AMMONS (DPM)?
The snapshot lists Saint Paul, Minnesota for KENNETH G AMMONS (DPM); download NPPES for the complete set.
How can I contact KENNETH G AMMONS (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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