Dr. Kenneth Glen Walton , MD
Plastic Surgery • Gainesville, GA
1296 Sims St, Suite B
Gainesville, GA 305013850
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Kenneth Walton is listed in NPPES under Plastic Surgery.
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NPI assigned on August 30, 2006; this date does not establish years in practice.
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Published CMS data list 29 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99203 — New patient outpatient office visit: 18 service units.
- 99213 — Established patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 471 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Doxycycline Hyclate — 105 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 83 prescription fills, including refills.
- Celecoxib — 66 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Plastic Surgery in Georgia (2024, 57 clinicians with data). Median for this group: 81. Middle half: 34 to 356.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 70 in 2020 to 29 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1296 Sims St
Suite B
Gainesville, GA 305013850
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Northeast Georgia Physicians Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Emory University School Of Medicine
1988
What Public CMS Data Show
Plastic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
52 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $2,805 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $1,941 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
486 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,387 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $405.65 across 17 records.
By nature of payment
- Food and Beverage: $405.65 across 17 records.
Reporting-company totals (3 largest of 5)
- ABBVIE INC.: $270.12 across 12 records.
- VERTEX PHARMACEUTICALS INCORPORATED: $54.57 across 2 records.
- AXOGEN: $38.92 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
38 years (graduated 1988)
CMS Doctors and Clinicians data list 1988 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Walton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Walton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Plastic Surgery in Georgia (2024, 57 clinicians with data). Median for this group: 81. Middle half: 34 to 356.
Too few clinicians listed under Plastic Surgery in Gainesville have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Plastic Surgery in Georgia (2024, 57 clinicians with data). Median for this group: $12,870. Middle half: $4,270 to $56,632.
Too few clinicians listed under Plastic Surgery in Gainesville have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Plastic Surgery in Georgia (2024, 57 clinicians with data). Median for this group: $9,059. Middle half: $3,381 to $42,486.
Too few clinicians listed under Plastic Surgery in Gainesville have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Plastic Surgery in Georgia (2024, 84 clinicians with data). Median for this group: 108. Middle half: 48 to 166.
Too few clinicians listed under Plastic Surgery in Gainesville have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Plastic Surgery in Georgia (2024, 84 clinicians with data). Median for this group: $638. Middle half: $293 to $1,508.
Too few clinicians listed under Plastic Surgery in Gainesville have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Plastic Surgery with a practice address in Gainesville, GA (183 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 59% from 70 in 2020 to 29 in 2024.
- 2020: 70
- 2021: 48
- 2022: 26
- 2023: 15
- 2024: 29
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Medicare-allowed amount
Medicare-allowed amount decreased 58% from $6,647 in 2020 to $2,805 in 2024.
- 2020: $6,647
- 2021: $4,189
- 2022: $2,502
- 2023: $1,603
- 2024: $2,805
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Paid by Medicare
Paid by Medicare decreased 55% from $4,298 in 2020 to $1,941 in 2024.
- 2020: $4,298
- 2021: $3,176
- 2022: $1,593
- 2023: $1,020
- 2024: $1,941
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 94% from 243 in 2020 to 471 in 2024.
- 2020: 243
- 2021: 215
- 2022: 237
- 2023: 336
- 2024: 471
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30-day fills
30-day fills increased 100% from 243 in 2020 to 486 in 2024.
- 2020: 243
- 2021: 216
- 2022: 238
- 2023: 338
- 2024: 486
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Part D drug cost
Part D drug cost increased 91% from $2,295 in 2020 to $4,387 in 2024.
- 2020: $2,295
- 2021: $1,821
- 2022: $2,764
- 2023: $2,978
- 2024: $4,387
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $393.02 in 2021 to $405.65 in 2025.
- 2021: $393.02
- 2022: $320.39
- 2023: $482.29
- 2024: $331.52
- 2025: $405.65
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 17 records totaling $405.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AXOGEN |
Food and Beverage
In-kind items and services
|
— | General | $38.92 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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ARTIA | General | $33.64 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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ARTIA | General | $33.64 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $33.24 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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ALLODERM | General | $33.22 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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ALLODERM | General | $31.49 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $29.73 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $25.95 |
| LifeNet Health |
Food and Beverage
Cash or cash equivalent
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TheraGenesis Wound Matrix | General | $25.94 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $24.84 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $22.26 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $21.52 |
| Integra LifeSciences Corporation |
Food and Beverage
In-kind items and services
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Integra | General | $16.10 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $9.75 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $9.52 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
— | General | $8.73 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $7.16 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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18 | 18 | $236.00 | $104.26 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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11 | 11 | $157.00 | $84.35 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 105 | 752 | $612.72 | 80 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 83 | 542 | $686.06 | 70 |
| Celecoxib | Celecoxib | 66 | 1,290 | $1,236.96 | 44 |
| Methylprednisolone | Methylprednisolone | 42 | 312 | $219.30 | 41 |
| Promethazine Hcl | Promethazine Hcl | 33 | 152 | $133.67 | 30 |
| Diazepam | Diazepam | 28 | 49 | $34.61 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 181 | $137.35 | 21 |
| Ondansetron Odt | Ondansetron | 22 | 136 | $284.08 | 20 |
| Clindamycin Hcl | Clindamycin Hcl | 20 | 122 | $69.14 | 14 |
| Aprepitant | Aprepitant | 14 | 130 | $629.80 | 13 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 13 | 49 | $98.96 | — |
| Gabapentin | Gabapentin | 11 | 550 | $198.84 | — |
| Clopidogrel | Clopidogrel Bisulfate | 11 | 330 | $45.53 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-07-21NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20101214000074
GA
5092902205
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Northeast Georgia Physicians Group Inc
743 Spring Nest, Gainesville, GA 305013715
Phone: 7702196000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Plastic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Plastic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Surgery - Plastic and Reconstructive Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)
NPI status registered as active in NPPES database
Registered at 1296 SIMS ST, SUITE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)
Registered at 1296 SIMS ST, SUITE B, GAINESVILLE, GA 305013850 (Tel: 7705341856)
Recorded as KENNETH WALTON, M. D.
Plastic Surgery (license number reported to NPPES: GA 034490)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Plastic Surgery Specialists in Gainesville
Healthcare providers in GainesvilleMailing Address
Po Box 742616
Atlanta, GA 303742616
Phone: 7702198420