Kenneth Merle Kilgore, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C7109 Issued in AR

Practice address

2943 Highway 62 W
Mountain Home, AR 72653-6535

Phone

(870) 424-4900

Fax

(870) 424-4979

NPI assigned

May 24, 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 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Ophthalmology

Education

University of Arkansas College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kilgore Vision CenterGroup PAC ID 0345278214, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kenneth.kilgore.p2@direct.kilgorevisioncenter.nextgenshare.com
• Direct secure messaging: kenneth.kilgore.p1@direct.kilgorevisioncenter.nextgenshare.com

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.

• Kilgore Vision Center

  • Specialist
  • Mountain Home, AR
  • NPI 1447253273
  Medicare reassignment Care Compare group Authorized official
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Baxter County Regional Hospital Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1659374429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540444",
            "telephone_number": "870-424-4900",
            "fax_number": "870-424-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536535",
            "telephone_number": "870-424-4900",
            "fax_number": "870-424-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Sawgrass Pt",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726013072",
            "country_code": "US",
            "telephone_number": "870-741-1910",
            "fax_number": "870-741-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KENNETH",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117693001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidspiration Pediatric Therapy Services
• Kidspiration Pediatric Therapy Services
• Kidspiration Pediatric Therapy Services, Inc.
• Kilgore Vision Center
• Kenneth Adam Kilgore, MD
• Marisa Leann Killian
• Paul Ryan Killian, PHARM.D.
• Tyra Killian
• Alexis Kincade
• Kailey Abigail Kincade

• Ophthalmology Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.