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Dr. Kenneth Daniel Willis , DDS

Dentist • Gallipolis, OH

Active NPI 1457841835 Individual Practitioner Male Practitioner
Practice location in NPPES

878 Jackson Pike
Gallipolis, OH 456311391

Call 7404467806 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

878 Jackson Pike

Gallipolis, OH 456311391

Telephone 7404467806
Organization at the Same NPPES Address or Phone
Kyger Dental Associates Inc Facility NPI 1063959864

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Maumee, OH; Toledo, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

97 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

$235 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2021

All general payments: $37.15 across 2 records.

By nature of payment

  • Education: $37.15 across 2 records.

Reporting-company totals

  • Colgate Oral Pharmaceuticals, Inc.: $37.15 across 2 records.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Willis 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Willis 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Gallipolis and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Dentist in Ohio (2024, 1,518 clinicians with data). Median for this group: 58. Middle half: 27 to 114.

Too few clinicians listed under Dentist in Gallipolis have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Dentist in Ohio (2024, 1,518 clinicians with data). Median for this group: $146. Middle half: $60 to $335.

Too few clinicians listed under Dentist in Gallipolis have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Dentist with a practice address in Gallipolis, OH (2,791 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), 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

Open Payments · Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $37.15.

Manufacturer Payment Nature Product Type Amount ($)
Colgate Oral Pharmaceuticals, Inc.
Education
In-kind items and services
— General $24.04
Colgate Oral Pharmaceuticals, Inc.
Education
In-kind items and services
— General $13.11

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 79 532 $167.92 68
Clindamycin Hcl Clindamycin Hcl 18 132 $67.04 17

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: 2022-08-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES OH 30.025895

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20180709003454

Enrollment State Jurisdiction

OH

PECOS Control ID

1951657725

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

5012 Talmadge Rd Ste 100

Toledo, OH 43623

Phone: 4194749611

4359 Keystone Dr Ste 100

Maumee, OH 435378709

Phone: 4198930221

3000 Arlington Ave

Toledo, OH 436142598

Phone: 4193833805

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Billie Kyger , DDS

Dentist - General Practice

NPI 1912934936

Doctor of Dental Surgery

Dr. Timothy Kyger , DDS

Dentist - General Practice

NPI 1407920671

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
📍
Updated Practice Location August 25, 2022

Registered at 878 JACKSON PIKE, GALLIPOLIS, OH 456311391 (Tel: 7404467806)

📍
Updated Business Mailing Address August 25, 2022

Registered at 878 JACKSON PIKE, GALLIPOLIS, OH 456311391 (Tel: 7404467806)

📍
Updated Practice Location July 10, 2019

Registered at 5012 TALMADGE RD STE 100, TOLEDO, OH 43623 (Tel: 4194749611)

📍
Updated Business Mailing Address July 10, 2019

Registered at 5012 TALMADGE RD STE 100, TOLEDO, OH 436232168 (Tel: 4194749611)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Dentist (license number reported to NPPES: OH 30.025895)

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NPI Profile Active May 11, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 11, 2018

Registered at 3000 ARLINGTON AVE, TOLEDO, OH 436142598 (Tel: 4193833805)

📍
Business Mailing Address (Initial Record) May 11, 2018

Registered at 3000 ARLINGTON AVE, TOLEDO, OH 436142598 (Tel: 4193833805)

👤
Provider Name / Credentials (Initial Record) May 11, 2018

Recorded as KENNETH WILLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2018

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: OH RES.003943)

🟢
Initial NPI Registration & Enumeration May 11, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457841835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2018
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

878 Jackson Pike

Gallipolis, OH 456311391

Phone: 7404467806

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.