Kevin Wayne Mace, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3542 Issued in IA

Practice address

1208 N Lincoln St
Knoxville, IA 50138-3421

Phone

(641) 828-3832

Fax

(641) 828-3820

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pella Regional Health Center Hospital, Pella, IA, CCN 161367
• Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355

Merit-based Incentive Payment System (MIPS)

Final score

91.84 of 100Reported as group

Quality

91.13

Promoting interoperability

100

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pella Regional Health Center

  • Multi-Specialty Clinic/Center
  • Pella, IA
  • NPI 1053369405

  Family Medicine

  Medicare reassignment NPD
• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Medicare reassignment NPD
• Pella Regional Health Center

  • Community/Retail Pharmacy
  • Prairie City, IA
  • NPI 1033787445
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knoxville Community Hospital Inc

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Care Compare affiliation
• Knoxville Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Knoxville, IA
  • NPI 1952319840
  Care Compare affiliation
• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1043282759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383421",
            "telephone_number": "641-828-3832",
            "fax_number": "641-828-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383421",
            "telephone_number": "641-828-3832",
            "fax_number": "641-828-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1043282759",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3440446",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440446",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00210325",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4440446",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prhc@direct.pellahealth.kobledirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1208 N Lincoln St",
            "city": "Knoxville",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501383421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Sue Lanphier, PA
• Ryan Edward Laughlin, D.O.
• Todd Emery Lundy, D.D.S.
• Donita Lunsford, DIETICIAN
• Jason Maasdam, O.D.
• Madison County Medical Equipment, Inc.
• Alfredo Maldonado, M.D.
• Marion County Care Facility
• Marion County Care Facility of Community Care, Inc
• Marion County Elderly Nutrition

• Family Medicine Physician in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.