Active NPI
Kenneth Todd Piercy, M.D.
- Vascular Surgery Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 200500234
- Practice address
- 415 N Center St
Suite 203
Hickory, NC 28601-5057 - Phone
- (828) 323-8281
- Fax
- (828) 323-8322
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000040857 | TN | |
| Vascular Surgery Physician | 2086S0129X | 200500234 | NC | Primary |
Addresses
Primary practice location
415 N Center St
Suite 203
Hickory, NC 28601-5057
Mailing address
415 N Center St
Suite 203
Hickory, NC 28601-5057
Phone (828) 323-8281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338766 | Medicaid | TN | |
| MD0000040857 | Other | TN | MEDICAL LICENSE |
| 200500234 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Brody School of Medicine at East Carolina University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 N Ctr St
Hickory, NC 28601-5036
915 Tate Blvd SE
Hickory, NC 28602-4042
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 278 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000040857 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Specialist | Current | Accepting new patients |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Past | Accepting new patients | |
| Fryecare Physicians , LLC | Past | Accepting new patients |
Locations
420 N Center St
Hickory, NC 28601
Phone (704) 660-4055
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- kenneth.piercy.1@15786.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba FryeCare Specialty Center
- Internal Medicine Physician
- Hickory, NC
- NPI 1588103220
Specialist
-
dba FryeCare Cardiology Associates
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1093253205
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1295793016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CENTER ST",
"address_2": "SUITE 203",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015057",
"telephone_number": "828-323-8281",
"fax_number": "828-323-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CENTER ST",
"address_2": "SUITE 203",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015057",
"telephone_number": "828-323-8281",
"fax_number": "828-323-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCY",
"first_name": "KENNETH",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000040857",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "200500234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3338766",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD0000040857",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "200500234",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.