DR. KENNETH H II TOZER (M.D.) – Specialist, NPI 1366489270
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
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Provider Addresses for DR. KENNETH H II TOZER (M.D.)
Liberty Street, Milan Historic District, Milan, Milan Township, Erie County, Ohio, 44846, United States
MILAN, TN 383583453
Phone: (731) 686-7004
Fax: (731) 686-7078
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)
CMS reports 23 Open Payments records for all available years, with a total value of $46,484.
Total Amount is formed as General ($46,484) + Research ($0) + Ownership ($0) = $46,484.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ConvaTec Inc. ($46,320).
Total Amount
$46,484
General + Research + Ownership
Payments
23
Total payment records
General Amount
$46,484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $46,320 |
| Pacira Pharmaceuticals Incorporated | $50 |
| ABBVIE INC. | $46 |
| Smith+Nephew, Inc. | $26 |
| Bard Peripheral Vascular, Inc. | $22 |
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: 2006-10-05
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 |
|---|---|---|---|---|
| I20061005000544 | I | General Surgery | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 439 | 263 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 75 | 66 | $0 |
Insurance plans in this area (ZIP 38358)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | TN | 45378 | Diagnostic examination of large bowel using an endoscope | 26 | 26 |
| GENERAL SURGERY | TN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 14 | 14 |
| GENERAL SURGERY | TN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 71 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN |
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