KENNETH BRADSHAW D.P.M.
NPI 1134197924
Podiatrist in Clinton, MO
NPI Status: Active since March 09, 2006
Contact Information
1602 N 2ND ST
CLINTON, MO
ZIP 64735
Phone: (660) 885-8171
Fax: (660) 890-8485
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Podiatrist
- PECOS Enrolled
- Medicare Quality Reporting
About KENNETH BRADSHAW
This page provides the complete NPI Profile along with additional information for Kenneth Bradshaw, a provider established in Clinton, Missouri with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1134197924 assigned on March 2006. The practitioner's primary taxonomy code is 213E00000X with license number 000385 (MO). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1134197924
- Provider Name
- KENNETH BRADSHAW D.P.M.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1602 N 2ND ST CLINTON, MO 64735
- Location Phone
- (660) 885-8171
- Location Fax
- (660) 890-8485
- Mailing Address
- 1602 N 2ND ST CLINTON, MO 64735
- Mailing Phone
- (660) 885-8171
- Mailing Fax
- (660) 890-8485
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-09-2006
- Last Update Date
- 07-13-2025
- Code Navigator
A podiatrist like Kenneth Bradshaw provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 000385
- License State
- MO
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Medicare Participation & PECOS Enrollment Status
Kenneth Bradshaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 64735 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.71
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $16.42
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | 39 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months | ||
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% | 39 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing | ||
| Documentation of Current Medications in the Medical Record | 100% | 57 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 96% | 46 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 100% | 48 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Medication Reconciliation | 100% | 104 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 99% | 126 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 72% | 46 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Provide Patient Access | 100% | 47 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 38% | 47 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 9 | 7 | 9 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 9 | 14 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 9 + 1 + 4 + 9 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1134197924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649247727 | TIMOTHY GABBERT D.O. Individual | Family Medicine | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1891763686 | THOMAS SPOONER D.O. Individual | Family Medicine | 1602 N 2ND ST CLINTON, MO 64735 (660) 890-8023 |
| 1275755530 | JAMES LEE WOMACK MD Individual | Orthopaedic Surgery | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1982893608 | PAMELA JEAN MCCOOL D.O. Individual | Obstetrics & Gynecology | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1578821260 | GOLDEN VALLEY MEMORIAL HOSPTIAL Organization | Clinic/Center (Radiology) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1932524816 | LINDA SILVEY Individual | Nurse Practitioner (Family) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1841288834 | CANDICE J. BAKER F.N.P. Individual | Nurse Practitioner (Family) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1861875684 | GOLDEN VALLEY MEMORIAL HOSPITAL Organization | Nurse Practitioner (Family) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1770660177 | DEBRA L GOFFINET M. A. CCC-A Individual | Audiologist-Hearing Aid Fitter | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1316007255 | JOSEPH MARK GOFFINET M.S., CCC-A Individual | Audiologist-Hearing Aid Fitter | 1602 N 2ND ST UNIT 5-260 CLINTON, MO 64735 (660) 885-8171 |
| 1346694106 | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT Organization | Clinic/Center (Multi-Specialty) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1144767302 | MELONDY ANN BOWLAND LMSW Individual | Social Worker | 1602 N 2ND ST CLINTON, MO 64735 (660) 890-7297 |
| 1407804867 | ELIZABETH ANN DAWSON RN/FNP/C Individual | Nurse Practitioner | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1912094566 | JG SANFORD LLC Organization | Eyewear Supplier | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-2020 |
| 1518995422 | DR. KRISTYN PONCY MENENDEZ MD Individual | Obstetrics & Gynecology | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1477990075 | SUMMERS PHARMACY Organization | Pharmacy (Community/Retail Pharmacy) | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-3147 |
| 1669521753 | DANIEL JOHN WEBER O.D. Individual | Optometrist | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1043258650 | DR. BRENDAN BAGLEY M.D. Individual | Family Medicine | 1602 N 2ND ST CLINTON, MO 64735 (660) 890-8465 |
| 1043395163 | ALICE C RUTTINGER DO Individual | Internal Medicine | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
| 1093747057 | BRUCE G. BELLAMY M.D. Individual | Family Medicine | 1602 N 2ND ST CLINTON, MO 64735 (660) 885-8171 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134197924, enumerated in the NPI registry as an "individual" on March 09, 2006
The provider is located at 1602 N 2nd St Clinton, Mo 64735 and the phone number is (660) 885-8171
The provider's speciality is Podiatrist with taxonomy code 213E00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $81.64 with an average copayment of $20.41 for new patient appointments. Established patients should expect a typical charge of $65.71 and an average copayment of 16.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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