Kenna J. Williams, M.D.
NPI 1770571853ActiveIndividual· Surgery· Pulaski, TN
Surgery (M.D.) in Pulaski, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1986). Mostly services rather than prescriptions: Medicare paid $26,385 for 114 patients in 2024, with only 32 Part D claims.
Overview
| NPI | 1770571853 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD 021163 | TN |
| Surgery | 208600000X | C0425 | KY |
| Surgery | 208600000X | MED-PHYS-LIC-78662 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO); Practitioner - General Surgery (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 227 across 62 procedure codes |
| Paid by Medicare | $26,385 |
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 32 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $246.06 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | General Surgery |
Medical group
- Upper San Juan Health Service DistrictPagosa Springs, CO · 37 clinicians
Hospital affiliation
- Pagosa Springs Medical CenterPagosa Springs, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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