KENNETH ALLEN HACKER MD NPI 1164484994

NPI Information

  • NPI: 1164484994
  • Provider Name: KENNETH ALLEN HACKER, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 JUNGERMANN CIRCLE
    STE 205
    ST PETERS, MO
    ZIP 63376
  • Phone: (636) 441-2122

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NPI Details

Kenneth Allen Hacker, MD is a surgery in St Peters, MO with 38 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Kenneth Allen Hacker, MD NPI is 1164484994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

6 JUNGERMANN CIRCLE
STE 205
ST PETERS, MO
ZIP 63376
Phone: (636) 441-2122
Fax: (636) 441-5290

The NPI 1164484994 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Repair of trapped hernia using an endoscope (HCPCS:49653)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryR5N50MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1203711015MEDICAIDMISSOURI
2986C2OTHERMISSOURIBLUE CROSS BLUE SHIELD
329293OTHERBLUE CHOICE
4G1257AOTHERPRINCIPAL
5088443OTHERGREAT WEST
61053235OTHERCARE PARTNER
711615OTHERESSENCE
8BLC27144001OTHERBLUE CHOICE
9SP14388OTHERCIGNA
101328V2907OTHERGHP
111700152OTHERUNITED HEALTHCARE
12017069OTHEREXCLUSIVE CHOICE
134337092OTHERAETNA
14209034OTHERHEALTHLINK
15430910980007OTHERPRUDENTIAL
16000487747642OTHERMERCY
17020029159OTHERRAILROAD MEDICARE
18M6725OTHERMEDICARE ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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