KENNETH FONDREN STARNES (MD) – Family Medicine Physician, NPI 1851772065

KENNETH FONDREN STARNES (MD) is a healthcare provider. based in Springfield, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2015017181 (MO). The NPI Number for KENNETH FONDREN STARNES (MD) is 1851772065

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH FONDREN STARNES (MD)
NPI
1851772065
Phone
(417) 269-8817
Address
1423 N JEFFERSON AVE STE B100
Enumeration Date
12 June 2015
Last Update Date
12 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4179347000
Graduation Year
2015 (11 years ago)
PAC ID
9032476270
Group Practice PAC ID
7810806643
Professional Enrollment ID
I20171127001573
Address ID
MO655488542MO100XX60XX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for KENNETH FONDREN STARNES (MD)

  • 1423 N JEFFERSON AVE STE B100

    SPRINGFIELD, MO 658021917

    Phone: (417) 269-8817

    Fax: (417) 269-8744

    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)

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: 2023-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20171127001573IEmergency MedicineMOTBD
I20180716002208IEmergency MedicineARTBD
I20231025000861IFamily PracticeORTBD
I20231129003809IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65802)

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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: 7810806643View full group profile
NameSpecialtyState
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
-MO
Nurse PractitionerMO
Emergency Medicine, Internal MedicineMO
Family PracticeMO
Emergency MedicineMO
Emergency Medicine, Family Practice, Family PracticeMO
Emergency MedicineNY

Reviews

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Frequently asked questions

What identifier follows KENNETH FONDREN STARNES (MD) across health systems?
The NPI 1851772065 uniquely identifies KENNETH FONDREN STARNES (MD) in U.S. healthcare data.
Is KENNETH FONDREN STARNES (MD)'s NPI status active today?
Active status means KENNETH FONDREN STARNES (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KENNETH FONDREN STARNES (MD)'s specialty?
The extract shows Family Medicine Physician for KENNETH FONDREN STARNES (MD). Clinical services aligned with this taxonomy classification.
Can patients visit KENNETH FONDREN STARNES (MD) in Springfield, Missouri?
For routing, start with Springfield, Missouri for KENNETH FONDREN STARNES (MD), then verify phone and hours locally.
Who maintains KENNETH FONDREN STARNES (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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