KENNETH C LI (MD) – Internal Medicine Physician, NPI 1407834096
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 INTERNAL MEDICINE in MO
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Provider Addresses for KENNETH C LI (MD)
Lester Street, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639015025
Phone: (573) 686-2411
Fax: (573) 778-7271
Type: Location
Poplar, Pine Bluff, Jefferson County, Arkansas, 71601, United States
POPLAR BLUFF, MO 63902
Phone: (573) 686-2411
Fax: (573) 686-8452
Type: Mailing
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
225 PHYSICIANS PARK STE 400
POPLAR BLUFF, MO 639013923
Phone: (573) 727-5500
Fax: (573) 727-5599
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: 2010-06-03
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 |
|---|---|---|---|---|
| I20100603000530 | I | Internal Medicine | MO | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 306 | 86 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 258 | 252 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 85 | 75 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 82 | 74 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 71 | 62 | $0 |
Insurance plans in this area (ZIP 63901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 85610 | Blood test, clotting time | 274 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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