Kenneth Starnes, PA
NPI 1003904723 · Physician Assistant · Piney Flats, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Starnes, PA is a Physician Assistant provider in Piney Flats, TN (NPI 1003904723).
Provider details
- NPI number
- 1003904723
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA1414 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
177 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 92 | $94 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 64 | $137 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 21 | $56 |
Typical Medicare-allowed amounts for these services range $56–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 38 | 37 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 38 | 38 |
| Prednisone | 30 | 30 |
| Cephalexin | 27 | 26 |
| Tizanidine Hcl | 25 | 25 |
| Diclofenac Potassium | 24 | 24 |
| Cefdinir | 18 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$250 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Kenneth Starnes's NPI number?
- Kenneth Starnes's National Provider Identifier (NPI) is 1003904723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Starnes's specialty?
- Kenneth Starnes is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Starnes located?
- Kenneth Starnes's practice location on file with NPPES is 6419 Bristol Hwy, Piney Flats, TN 37686-5208.
- What is Kenneth Starnes's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Starnes is (423) 538-5202.
- Does Kenneth Starnes accept Medicare?
- Kenneth Starnes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Starnes's NPI active?
- Yes — Kenneth Starnes's NPI (1003904723) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.