KENNETH JOHN SCHULTZ (D.P.M.) – Podiatrist, NPI 1902819543

KENNETH JOHN SCHULTZ (D.P.M.) is a healthcare provider. based in Independence, Missouri. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 000753 (MO). The NPI Number for KENNETH JOHN SCHULTZ (D.P.M.) is 1902819543

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH JOHN SCHULTZ (D.P.M.)
NPI
1902819543
Phone
(816) 304-1122
Address
3420 SADDLE RIDGE DR
Enumeration Date
14 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8163041122
Graduation Year
1990 (36 years ago)
PAC ID
5991794653
Professional Enrollment ID
I20060508000408
Address ID
MO640573375IN3420XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

285 PODIATRY in MO

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Provider Addresses for KENNETH JOHN SCHULTZ (D.P.M.)

  • 3420, Saddle Ridge Drive, Saddle Ridge, Independence, Jackson County, Missouri, 64057, United States

    INDEPENDENCE, MO 640573375

    Phone: (816) 304-1122

    Fax: (816) 224-9273

    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: 2006-05-08

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
I20040507001081IPodiatryMOTBD
I20060508000408IPodiatryKSTBD

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
11721Removal of fingernails or toenails, 6 or more nails3,114976$0
11056Removal of noncancer thickened skin growth, 2-4 growths1,278477$0
11055Removal of noncancer thickened skin growth, 1 growth655276$0
11057Removal of noncancer thickened skin growth, more than 4 growths392146$0
99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes165165$0
View full utilization report →

Insurance plans in this area (ZIP 64057)

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Provider's Procedures

KENNETH JOHN SCHULTZ (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMO11056Removal of 2 to 4 thickened skin growths796294

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Frequently asked questions

How is KENNETH JOHN SCHULTZ (D.P.M.) identified in CMS data?
CMS-hosted NPPES data lists KENNETH JOHN SCHULTZ (D.P.M.) with NPI 1902819543.
Is KENNETH JOHN SCHULTZ (D.P.M.) listed as active for patients and plans?
The listing shows KENNETH JOHN SCHULTZ (D.P.M.) as active in the NPI system.
What taxonomy line describes KENNETH JOHN SCHULTZ (D.P.M.)?
For research purposes, treat KENNETH JOHN SCHULTZ (D.P.M.) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Does KENNETH JOHN SCHULTZ (D.P.M.) list a practice location?
Patients near Independence, Missouri may find KENNETH JOHN SCHULTZ (D.P.M.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.