DR. KENNETH LEE GOWDY (M.D.) – Anesthesiology Physician, NPI 1376640045
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
869 ANESTHESIOLOGY in OR
Provider Addresses for DR. KENNETH LEE GOWDY (M.D.)
3600 NW Samaritan Dr
Corvallis, OR 973305472
Phone: (541) 768-5111
Type: Location
One Hospital Dr
Columbia, MO 652120001
Phone: (573) 882-2568
Fax: (855) 903-0985
Type: Location
Great Plains Health, 601, West Leota Street, North Platte, Lincoln County, Nebraska, 69101, United States
NORTH PLATTE, NE 691016525
Phone: (308) 696-8344
Fax: (308) 696-8349
Type: Mailing
16666 BIDWELL LN
FONTANA, CA 923361454
Phone: (316) 641-1497
Type: Mailing
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 968595001
Phone: (808) 433-6661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $18 |
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: 2022-12-10
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070108000556 | I | Anesthesiology | MO | TBD |
| I20151104002256 | I | Anesthesiology | CA | TBD |
| I20201120001880 | I | Anesthesiology | HI | TBD |
| I20221210000287 | I | Anesthesiology | OR | 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 |
|---|---|---|---|---|
| 00410 | Anesthesia for procedure to correct abnormal heart rhythm | 42 | 40 | $0 |
| 00520 | Anesthesia for other closed procedure on chest | 14 | 14 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 13 | 13 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Emergency Medicine, Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO |
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