Individual provider Active NPI

Kenneth Paul Metoyer, MD

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1265692156
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD205399 Issued in LA
Practice address
310 W Mississippi Ave
Ruston, LA 71270-4202
Phone
(318) 399-7130
Fax
(318) 399-7139
NPI assigned
Jun 13, 2008
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD205399 LA Primary

Addresses

Primary practice location

310 W Mississippi Ave
Ruston, LA 71270-4202

Mailing address

PO Box 829
Ruston, LA 71273-0829
Phone (318) 399-7130

Other identifiers 1

IdentifierTypeStateIssuer
1121754MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20131205000196 LA Practitioner - Family Practice 1759518343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 S Farmerville St
Ruston, LA 71270-5941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD205399LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
WK Primary Care Ruston Family Medicine CurrentSince May 31, 2026 Accepting new patients
Green Clinic LLC CurrentSince Jul 1, 2017 Accepting new patients
Green Clinic LLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
CLHG-Ruston LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

310 W Mississippi Ave
Ruston, LA 71270
Phone (318) 399-7130

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

Interoperability endpoints

  • Direct secure messaging: kenneth.metoyer.1@26990.direct.athenahealth.com
  • Direct secure messaging: kenneth.metoyer@gcmc.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring Hands HospiceWest Monroe, LA, CCN 191643 Hospice Corporate Director Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1265692156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712730829",
            "telephone_number": "318-399-7130",
            "fax_number": "318-399-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MISSISSIPPI AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704202",
            "telephone_number": "318-399-7130",
            "fax_number": "318-399-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METOYER",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD205399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121754",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.