MR. KENNETH SCRUGGS MAXWELL MD NPI 1801876768

NPI Information

  • NPI: 1801876768
  • Provider Name: MR. KENNETH SCRUGGS MAXWELL, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 CHARLOIS BLVD
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 768-3361

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NPI Details

MR. Kenneth Scruggs Maxwell, MD is an otolaryngology in Winston Salem, NC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MR. Kenneth Scruggs Maxwell, MD NPI is 1801876768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103-522
Phone: (336) 768-3361
Fax: (336) 768-4131

The NPI 1801876768 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.

  • Exam of ear using a microscope (HCPCS:92504)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test to assess middle ear function (HCPCS:92567)
  • Analysis and reprogramming of inner ear implant (7 years or older) (HCPCS:92604)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)

The enumeration date for this NPI number is 1/18/2006 and was last updated on 2/15/2012.

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
1207Y00000XOtolaryngology9500660NORTH CAROLINAYes

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
154268OTHERNORTH CAROLINAMEDCOST
21001971OTHERNORTH CAROLINAUNITED HEALTHCARE
39881OTHERNORTH CAROLINAPARTNERS
46502393OTHERNORTH CAROLINAVIRGINIA MEDICAID
58955051MEDICAIDNORTH CAROLINA
6040015067OTHERNORTH CAROLINARAILROAD MEDICARE
755051OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
82210937FMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE
9F90377MEDICARE UPINNORTH CAROLINA

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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