DR. KENNETH B WAITE (D.O.) – Emergency Medicine Physician, NPI 1194037754

DR. KENNETH B WAITE (D.O.) is a healthcare provider. based in Mcgregor, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. V4775 (TX). The NPI Number for DR. KENNETH B WAITE (D.O.) is 1194037754

Main info

Male
Sole Proprietor
16 Years Of Experience
Name
DR. KENNETH B WAITE (D.O.)
NPI
1194037754
Phone
(949) 326-6615
Address
7030 BANNISTER CIRCLE
Enumeration Date
11 July 2010
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9567965000
Graduation Year
2010 (16 years ago)
PAC ID
1052601275
Group Practice PAC ID
5395741896
Professional Enrollment ID
I20250106003282
Address ID
TX780415401LA1700XSTXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:15State licenses:1Other names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. KENNETH B WAITE (D.O.)

  • 7030 BANNISTER CIRCLE

    MCGREGOR, TX 76657

    Phone: (949) 326-6615

    Type: Mailing

  • 8416 OLD MCGREGOR RD

    WOODWAY, TX 767126499

    Phone: (254) 307-3997

    Fax: (254) 300-9935

    Type: Location

  • 2428 ALDER PL

    SUFFOLK, VA 234353377

    Phone: (740) 243-6316

    Type: Mailing

  • 1507 ELDERBERRY RD

    SUFFOLK, VA 234353368

    Phone: (740) 243-6316

    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: 2025-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20191023000532IEmergency MedicineOHTBD
I20220601000926IEmergency MedicineCATBD
I20250106003282IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making242237$0
99291Critical care, first 30-74 minutes149145$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only139132$0
99284Emergency department visit with moderate level of medical decision making131129$0
99283Emergency department visit with low level of medical decision making1817$0
View full utilization report →

Insurance plans in this area (ZIP 76657)

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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: 5395741896View full group profile
NameSpecialtyState
Emergency MedicineLA
Emergency MedicineTX
Nurse PractitionerTX
Family PracticeLA
Emergency MedicineTX
Emergency MedicinePR
Internal MedicineTX
Emergency Medicine, Pediatric MedicineTX
Family Practice, Family Practice, Emergency Medicine, Emergency MedicineTX
Emergency MedicineLA

Reviews

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Frequently asked questions

What identifier follows DR. KENNETH B WAITE (D.O.) across health systems?
The NPI 1194037754 uniquely identifies DR. KENNETH B WAITE (D.O.) in U.S. healthcare data.
Does the public listing show DR. KENNETH B WAITE (D.O.) as active?
DR. KENNETH B WAITE (D.O.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KENNETH B WAITE (D.O.) does?
Insurance directories may phrase it differently, but here DR. KENNETH B WAITE (D.O.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH B WAITE (D.O.) tied to Mcgregor, Texas?
If you are local to Mcgregor, Texas, DR. KENNETH B WAITE (D.O.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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