Kenneth H Tozer II, M.D.

Individual provider Active NPI Specialist · Milan, TN

NPI 1366489270 · NPPES record last updated May 17, 2023

Key facts

NPI
1366489270
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
MD016387 (TN)
Practice address
4022 Liberty St
Milan, TN 38358-3453
Phone
(731) 686-7004
Fax
(731) 686-7078
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
General Surgery
Also: Vascular Surgery
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth H. Tozer II, MD (2 clinicians)

Practice addresses (Care Compare)

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004

Hospital & facility affiliations

  • West Tennessee Healthcare Milan Hospital Hospital · Milan, TN · CCN 440060
  • Jackson-Madison County General Hospital Hospital · Jackson, TN · CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100 (individual)
Quality
77.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy187
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux174
Varicose vein removal34
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061005000544 TN Practitioner - General Surgery
Practitioner - Vascular Surgery
4688678691 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016387TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth H. Tozer II, MD Specialist Current
since May 1, 1994
Accepting new patients
Milan General Hospital, Inc. Past Accepting new patients

Locations

4022 Liberty St
Milan, TN 38358
Phone (731) 686-7004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD016387 TN Yes

Addresses

Primary practice location

4022 Liberty St
Milan, TN 38358-3453

Mailing address

4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004

Other identifiers

IdentifierTypeStateIssuer
0046019OtherTNBCBS
4231723OtherTNBCBS
016387MedicaidTN
1514532MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2023.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1366489270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-686-7004",
            "fax_number": "731-686-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 LIBERTY ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583453",
            "telephone_number": "731-686-7004",
            "fax_number": "731-686-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZER",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD016387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046019",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4231723",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016387",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514532",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

All providers in Milan, TN · Specialist in Tennessee

Sources for this page

Verify at the official NPI Registry.