Doctor profile · Federal record

Dr. Kenneth Rice, M.D.

Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Emergency Medicine Physician · Cumming, GA

  • NPI 1831148063
  • Accepts Medicare
  • MIPS 89.9 / 100 · 2023
  • 32 yrs in practice
  • Licensed in 3 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
2021 Market Place Blvd, Prime Care Urgent Care
Cumming, GA 300417931
(770) 292-9982
fax (470) 297-3347
Additional location
600 W 6Th St Ste 455
Fort Worth, TX 761023684
(682) 428-7718
Additional location
2 N Central Ave Ste 1800
Phoenix, AZ 850042139
(323) 310-4183

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
April 30, 2025
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207P00000X — NUCC code
State licenses (3)
Georgia #047251 · South Carolina #23639 · Arizona #25321
Medicaid (2)
SC #G47251 · SC #000823292H

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1831148063. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
556
Distinct HCPCS
10
Medicare allowed
$25,255
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 144 14 $0
87804 Detection test by immunoassay with direct visual observation for influenza virus 90 45 $16
99214 Established patient office or other outpatient visit, 30-39 minutes 55 53 $126
99204 New patient office or other outpatient visit, 45-59 minutes 50 50 $167
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 46 46 $50
J0696 Injection, ceftriaxone sodium, per 250 mg 46 12 $1
96372 Injection of drug or substance under skin or into muscle 38 23 $14
71046 X-ray of chest, 2 views 34 31 $33
81002 Urinalysis, manual test 20 19 $3
99205 New patient office or other outpatient visit, 60-74 minutes 20 20 $211

In context: peer comparison

Among 3 peers in Cumming Emergency Medicine Physician, average services per provider: 91. This provider delivers 6.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
297
Patients
279
Total drug cost
$3,168
Drug Type Claims Patients Total cost
Doxycycline Hyclate Generic 62 62 $548
Dexamethasone Generic 43 41 $276
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 38 30 $1,277
Mupirocin Generic 24 22 $172
Fluticasone Propionate Generic 20 16 $197
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 18 18 $53
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 17 17 $167
Azithromycin Generic 16 16 $57
Ibuprofen Generic 15 15 $37
Prednisone Generic 15 15 $49

Frequently asked questions

Auto-generated from federal data
What is Dr. Kenneth Rice's medical specialty?
Dr. Kenneth Rice practices Emergency Medicine Physician in Cumming, GA.
Where does Dr. Kenneth Rice practice?
Dr. Kenneth Rice practices at 2021 Market Place Blvd, Cumming, GA 300417931. Office phone: 7702929982.
What is Dr. Kenneth Rice's NPI?
Dr. Kenneth Rice's National Provider Identifier (NPI) is 1831148063, issued by NPPES.
Does Dr. Kenneth Rice accept Medicare assignment?
Yes. Dr. Kenneth Rice accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Rice commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.