Skip to content

Kenneth W. Kellough, M.D.

NPI 1609815000ActiveIndividual· Internal Medicine· Clarksdale, MS

Internal Medicine (M.D.) in Clarksdale, Mississippi, trained at University of Texas Medical Branch at Galveston (class of 1996). 703 Medicare patients in 2024, $103,812 paid; nearly all of their 1,249 Part D prescriptions were generic (95%).

Overview

NPI1609815000
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 4, 2006
Last updated in NPPESDec 3, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X16776MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients703
Services billed1,079 across 22 procedure codes
Paid by Medicare$103,812

Part D prescriptions in 2024

Prescriptions (claims)1,249 · 1,252 30-day fills
Patients647
Total drug cost$7,836
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Texas Medical Branch at Galveston
Graduation year1996
Medicare specialtyEmergency Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Internal Medicine providers in Clarksdale

All Internal Medicine providers in Mississippi →