NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1205800034 MD
Verify on CMS → Kenneth Anderson, MD
Pulmonary Disease Physician in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
461
Medicare Part D claims · 205 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
95.5/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$461.15
18 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kenneth Anderson, MD reported a CMS MIPS final score of 95.5/100 - above the 83.5 national average - and filed 461 Medicare Part D claims in 2024.
- 95.5/100
- MIPS score · +12 vs avg
- 461
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥78th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Kenneth Anderson, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1205800034), first enumerated 02/16/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 461 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 95.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$461.15 in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1205800034 · Pulmonary Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1205800034
- ENUM-LEGACY 2006
- TAX-MID 10K Pulmonary Disease
- MIPS-ELITE 95.5/100
- RX-LIGHT 461
- BOOK-THIN 125 in Kentucky
- PHOTO-FINISH Martha Gallegos, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Craig Rosebrock,…
Craig Rosebrock, M.D.
95.4 MIPS pts
- Anderson · this …
Anderson · this provider
95.5 MIPS pts
- Martha Gallegos,…
Martha Gallegos, MD
95.5 MIPS pts
- Aaron Mulhall, M…
Aaron Mulhall, MD
95.5 MIPS pts
- Scott Fraser, MD…
Scott Fraser, MD
95.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kenneth Anderson, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kenneth Anderson, MD sits
This provider among pulmonary disease physician peers
Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kenneth Anderson, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 79% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Kenneth Anderson, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kenneth Anderson, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kenneth Anderson, MD?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
461 69% vs specialty avg
MIPS final score
95.5/100 12 pts vs avg
Specialty distribution in Kentucky
How Pulmonary Disease Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Kenneth Anderson, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 95.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1205800034 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.5077
Final Score
Measured-score avg: 83.5
89.5953
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kenneth Anderson, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Baptist Health Medical Group Inc
Louisville, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kenneth Anderson, MD. Source: openpaymentsdata.cms.gov.
Total received
$461
Largest payer
HARMONY BIOSCIENCES LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
461
Total Claims
$57K
Total Drug Cost
205
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 705.633
- Total Day Supply
- 16,398
- Generic Drug Cost
- $12K
- Opioid Claims
- 16 (3.5% rate)
Patient Demographics
- Average Patient Age
- 75.4 years
- Avg HCC Risk Score
- 1.11
- Gender Split
- 63% female / 37% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kenneth Anderson, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Arexvy
Arexvy
89 claims
- Zolpidem Tartrate
Zolpidem Tartrate
60 claims
- Shingrix
Shingrix
41 claims
- Modafinil
Modafinil
37 claims
- Amitriptyline Hcl
Amitriptyline Hcl
36 claims
- Eszopiclone 23
Eszopiclone
23 claims
- Clonazepam 21
Clonazepam
21 claims
- Boostrix Tdap 18
Boostrix Tdap
18 claims
| Drug | Claims |
|---|---|
| Arexvy Rsvpref3 Antigen/As01e/Pf | 89 |
| Zolpidem Tartrate | 60 |
| Shingrix Varicella-Zoster Ge/As01b/Pf | 41 |
| Modafinil | 37 |
| Amitriptyline Hcl | 36 |
| Eszopiclone | 23 |
| Clonazepam | 21 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 18 |
| Ropinirole Hcl | 13 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Kenneth Anderson, MD fits within the Pulmonary Disease Physician landscape nationally.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
Kenneth Anderson, MD's 461 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Anderson, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (95.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pulmonary Disease Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Anderson.
One of 125 Pulmonary Disease Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Amadeo Abraham
M.D.
Louisville, KY
Dr. Mateen Ahmed
M.D
Somerset, KY
Dr. Moayad Al-Sona'
MD
Lexington, KY
Dr. Mahmood Alam
MD
Whitesburg, KY
Dr. Nishant Allena
MD
Paducah, KY
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kenneth Anderson, MD's specialty? ▼
Kenneth Anderson, MD specializes in Pulmonary Disease Physician and practices in Louisville, Kentucky. Credentials: MD.
How much does Kenneth Anderson, MD prescribe under Medicare Part D? ▼
In 2024, Kenneth Anderson, MD wrote 461 Medicare Part D claims totaling $57K in drug costs for 205 beneficiaries.
What is Kenneth Anderson, MD's Medicare quality score? ▼
Kenneth Anderson, MD has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kenneth Anderson, MD located? ▼
Kenneth Anderson, MD is located at 4003 KRESGE WAY, Louisville, KY, 40207. Phone: (502) 899-7377.
What is Kenneth Anderson, MD's NPI number? ▼
Kenneth Anderson, MD's National Provider Identifier (NPI) is 1205800034, issued on 02/16/2006.
Does Kenneth Anderson, MD prescribe opioids? ▼
Yes, Kenneth Anderson, MD had 16 opioid claims in 2024 with an opioid prescribing rate of 3.5%.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Kenneth Anderson, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Kenneth Anderson, MD's most frequently prescribed drugs include Arexvy, Zolpidem Tartrate, Shingrix. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Anderson, MD accept Medicare? ▼
Kenneth Anderson, MD appears in CMS Medicare data with 461 Part D claims and 205 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Anderson, MD's credentials? ▼
Kenneth Anderson, MD's NPI is 1205800034 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.