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
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General 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
Practice addresses (Care Compare)
4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004
Hospital & facility affiliations
- West Tennessee Healthcare Milan Hospital
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.61 of 100
- Quality
- 77.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 187 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 174 |
| Varicose vein removal | 34 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061005000544 | TN | Practitioner - General Surgery |
4688678691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016387 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth H. Tozer II, MD | Specialist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046019 | Other | TN | BCBS |
| 4231723 | Other | TN | BCBS |
| 016387 | Medicaid | TN | |
| 1514532 | Medicaid | TN |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.