Kent L Kebert, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

10291 Issued in MS

Practice address

1307 Aston Ave
McComb, MS 39648-2898

Phone

(601) 684-8118

Fax

(601) 249-0846

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

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

Merit-based Incentive Payment System (MIPS)

Final score

3 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Kebert Eye Clinic PLLC

  • Optician
  • McComb, MS
  • NPI 1003098898
  Medicare reassignment NPD Authorized official
• Retina Specialists of Mississippi, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Hattiesburg, MS
  • NPI 1588109821
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1285632943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482898",
            "telephone_number": "601-684-8118",
            "fax_number": "601-249-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482898",
            "telephone_number": "601-684-8118",
            "fax_number": "601-249-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBERT",
        "first_name": "KENT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "10291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124918",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "180000265",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880090",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renie Jordon, M. D.
• Journey Transit and Travel, LLC
• Karen Bryant Luckett,DMD,PLLC
• Christos Kasapis, MD
• Kebert Eye Clinic PLLC
• Lynn Stone Kebert, O.D.
• Summer Keen
• Stephen Paul Keith, MD
• Erin Culpepper King, LPC
• Rosie L King, PCMHT

• Ophthalmology Physician in McComb, MS
• Providers in McComb, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.