DR. KENNETH ROBERT DURRWACHTER MD NPI 1992702682

NPI Information

  • NPI: 1992702682
  • Provider Name: DR. KENNETH ROBERT DURRWACHTER, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1705 WARREN AVE
    SUITE 208
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 601-6230

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NPI Details

DR. Kenneth Robert Durrwachter, MD is a family medicine in Williamsport, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth Robert Durrwachter, MD NPI is 1992702682. 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:

1705 WARREN AVE
SUITE 208
WILLIAMSPORT, PA
ZIP 17701-647
Phone: (570) 601-6230
Fax: (570) 601-6232

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.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Hemoglobin a1c level, by device for home use (HCPCS:83037)
  • Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/27/2021.

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
1207Q00000XFamily MedicineMD045039LPENNSYLVANIAYes

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
10012837330009MEDICAIDPENNSYLVANIA
2F26620OTHERPENNSYLVANIAHEALTHAMERICA
31279162OTHERPENNSYLVANIAUNITEDHEALTHCARE
4002787OTHERPENNSYLVANIAFIRST PRIORITY HEALTH
51147510OTHERPENNSYLVANIACIGNA
65664476OTHERPENNSYLVANIAAETNA
7721386OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
87420OTHERPENNSYLVANIAGEISINGER HEALTH PLAN

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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