Kenny Gaston
NPI 1205302973 · Student in an Organized Health Care Education/Training Program · Mitchellville, MD
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenny Gaston is a Student in an Organized Health Care Education/Training Program provider in Mitchellville, MD (NPI 1205302973).
Provider details
- NPI number
- 1205302973
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,812 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Therapy Procedure Using Water Pool to Exercises, Each 15 Minutes97113 | 1,500 | $30 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,114 | $25 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,064 | $21 |
| Re-Evaluation for Physical Therapy, Typically 20 Minutes97164 | 94 | $72 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 24 | $107 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 16 | $105 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-19
- Last updated
- 2018-10-19
Frequently asked questions
- What is Kenny Gaston's NPI number?
- Kenny Gaston's National Provider Identifier (NPI) is 1205302973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Gaston's specialty?
- Kenny Gaston is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kenny Gaston located?
- Kenny Gaston's practice location on file with NPPES is 12158 Central Ave, Mitchellville, MD 20721-1932.
- What is Kenny Gaston's phone number?
- The practice phone number listed in the NPPES registry for Kenny Gaston is (301) 430-2750.
- Does Kenny Gaston accept Medicare?
- Kenny Gaston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenny Gaston's NPI active?
- Yes — Kenny Gaston's NPI (1205302973) is active in the NPPES registry as of the last update on 2018-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.