Kenneth U Mbachu , PA
Physician Assistant • Baltimore, MD
900 Caton Ave
Baltimore, MD 212295201
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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Kenneth Mbachu is listed in NPPES under Physician Assistant.
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NPI assigned on April 1, 2006; this date does not establish years in practice.
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Published CMS data list 41 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 27447 — Replacement of knee joint, both sides of knee: 23 service units.
- 27130 — Replacement of thigh bone and hip joint with prosthesis: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 564 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:
- Oxycodone Hcl — 171 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 103 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 71 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 12 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Baltimore, MD (2024, 401 clinicians with data). Median for this group: 88. Middle half: 39 to 243.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Maryland (2024, 1,440 clinicians with data). Median for this group: 160. Middle half: 54 to 495.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 39 in 2017 to 41 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
900 Caton Ave
Baltimore, MD 212295201
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: Providence Pain Management Center, P.A.. 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
2001
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
54 people with Original Medicare in 2021
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2021.
Medicare-allowed amount
About $7,981 in 2021
The total amount Medicare approved for these services in 2021. 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, 2021.
Paid by Medicare
About $6,023 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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, 2021.
30-day fills
578 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
$7,550 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $19.65 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kenneth Mbachu 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 Kenneth Mbachu 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 Baltimore and Maryland
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Baltimore, MD (2024, 401 clinicians with data). Median for this group: 88. Middle half: 39 to 243.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Maryland (2024, 1,440 clinicians with data). Median for this group: 160. Middle half: 54 to 495.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Baltimore, MD (2024, 401 clinicians with data). Median for this group: $1,119. Middle half: $317 to $8,169.
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Maryland (2024, 1,440 clinicians with data). Median for this group: $2,364. Middle half: $446 to $33,986.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Kenneth Mbachu are from 2021.
1,194 active clinicians are listed under Physician Assistant with a practice address in Baltimore, MD (3,316 in Maryland).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Baltimore
8% of these 1,194 clinicians have the CMS telehealth indicator.
39.4% of these 1,194 clinicians are listed by CMS as accepting Medicare assignment.
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 varied from year to year: 39 in 2017 and 41 in 2021.
- 2017: 39
- 2018: 24
- 2019: 43
- 2020: 32
- 2021: 41
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $7,850 in 2017 and $7,981 in 2021.
- 2017: $7,850
- 2018: $4,877
- 2019: $8,840
- 2020: $6,700
- 2021: $7,981
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Paid by Medicare
Paid by Medicare varied from year to year: $6,254 in 2017 and $6,023 in 2021.
- 2017: $6,254
- 2018: $3,685
- 2019: $6,930
- 2020: $5,088
- 2021: $6,023
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 96% from 288 in 2020 to 564 in 2024.
- 2020: 288
- 2021: 336
- 2022: 251
- 2023: 77
- 2024: 564
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30-day fills
30-day fills increased 101% from 288 in 2020 to 578 in 2024.
- 2020: 288
- 2021: 339
- 2022: 255
- 2023: 77
- 2024: 578
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Part D drug cost
Part D drug cost increased 33% from $5,659 in 2020 to $7,550 in 2024.
- 2020: $5,659
- 2021: $5,910
- 2022: $5,546
- 2023: $2,092
- 2024: $7,550
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), 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): fewer than 11 records totaling $19.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Heron Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
ZYNRELEF | General | $19.65 |
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 2016–2020 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, 2017–2021; 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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27447
Replacement of knee joint, both sides of knee
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23 | 21 | $662.00 | $194.53 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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18 | 18 | $620.00 | $194.81 |
Source: CMS Part B by Provider and Service, 2021; 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 |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 171 | 3,859 | $1,919.29 | 124 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 103 | 3,020 | $2,222.11 | 61 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 71 | 1,809 | $1,115.23 | 53 |
| Gabapentin | Gabapentin | 50 | 1,860 | $474.42 | 23 |
| Tramadol Hcl | Tramadol Hcl | 43 | 1,218 | $374.31 | 24 |
| Ondansetron Hcl | Ondansetron Hcl | 31 | 119 | $55.87 | 31 |
| Pregabalin | Pregabalin | 30 | 901 | $669.98 | 12 |
| Meloxicam | Meloxicam | 16 | 464 | $39.57 | 14 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 13 | 262 | $118.25 | 11 |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 96 | $56.62 | 13 |
| Morphine Sulfate Er | Morphine Sulfate | 12 | 345 | $310.10 | — |
| Celecoxib | Celecoxib | 11 | 211 | $194.60 | 11 |
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
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180905001863
DC
6901841477
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
Providence Pain Management Center, P.a.
201 Pine Bluff Rd, Salisbury, MD 218017163
Phone: 4106482000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated April 01, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Physician Assistants in Baltimore
- Jonathan Borlo
- Kaley Hanlon, PA-C
- Alycia Vanhorn, PA-C
- Kristy Lowenkron
- Virginia Conner, PA-C
- Michael Eitelman, PA-C
Mailing Address
900 Caton Ave
Baltimore, MD 212295201
Phone: 4103682414