DR. KENNETH L GERDES (M.D.) – Nephrology Physician, NPI 1720020100

DR. KENNETH L GERDES (M.D.) is a healthcare provider. based in Maryland heights, Missouri. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. 036-082405 (IL). The NPI Number for DR. KENNETH L GERDES (M.D.) is 1720020100

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH L GERDES (M.D.)
NPI
1720020100
Phone
(314) 432-2580
Address
PO BOX 1209
Enumeration Date
12 June 2006
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
7416999016
Professional Enrollment ID
I20050524000947
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. KENNETH L GERDES (M.D.)

  • 1209, Nye Street, Tuxedo Colony, Capitol Heights, Prince George's County, Maryland, 20743, United States

    MARYLAND HEIGHTS, MO 630430209

    Phone: (314) 432-2580

    Fax: (314) 991-8960

    Type: Mailing

  • 11155, Dunn Road, Saint Louis County, Missouri, 63136, United States

    SUITE 211N

    SAINT LOUIS, MO 631366150

    Phone: (314) 432-2580

    Fax: (314) 991-8960

    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: 2006-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (956 days ago).

Enrollment records

2

Earliest due date

2023-10-31

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
I20050524000947IInternal MedicineMO2023-10-31
I20060421000488IInternal MedicineILTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes242117$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6559$0
90962Dialysis services, 1 physician visit per month (20 years or older)6113$0
90935Hemodialysis procedure with physician evaluation2418$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 63043)

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Provider's Procedures

DR. KENNETH L GERDES (M.D.) performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO90935Hemodialysis procedure with one physician evaluation16387

Reviews

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Frequently asked questions

How do I look up DR. KENNETH L GERDES (M.D.) by NPI?
Use NPI 1720020100 when you need to reference DR. KENNETH L GERDES (M.D.) in forms, claims, or directories.
Is DR. KENNETH L GERDES (M.D.) currently active in the NPI registry?
CMS-published data lists DR. KENNETH L GERDES (M.D.) as an active registrant.
What field does DR. KENNETH L GERDES (M.D.) work in?
You can think of DR. KENNETH L GERDES (M.D.) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KENNETH L GERDES (M.D.)?
We surface Maryland Heights, Missouri for DR. KENNETH L GERDES (M.D.) based on available NPPES addresses.
What if Maryland Heights, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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