LLOYD KERSHEN

NPI 1285877233 · Diagnostic Radiology · Anthem

Provider Status Assessment

Needs Review

Carrier listings present but Colorado DORA license appears expired or revoked.

Confidence: High

Evidence: 9372 items from 12 sources

Signals: 6 supporting · 1 opposing

Resolution: Carrier listings present but Colorado DORA license appears expired or revoked. Licensure concern outweighs network presence.

Data Source Signals

✓

NPPES

LAKEWOOD, 80228

Freshness: Unknown

✓

Network Status

Listed with 5 carriers

anthem_co — in_network (commercial)
cigna_co — in_network (commercial)
kpic_co — in_network (commercial)
aetna_co — in_network (commercial)
kaiser_co — in_network (commercial)

✗

DORA License

Transferred to Compact Physician

✓

Medicare

4,875 services

3,523 beneficiaries

$95,224.44 total payment

Specialty: Diagnostic Radiology

✗

Care Compare

Address mismatch with NPPES

DENVER, 80211
LAKEWOOD, 80228
PARKER, 80134
WESTMINSTER, 80021

✓

PECOS Enrollment

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

Colorado DORA License: License status: Transferred to Compact Physician

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in LAKEWOOD

Medicare Billing: 4,875 services, 3,523 beneficiaries

PECOS Enrollment: Medicare enrollment confirmed

Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)

Carrier Networks: Listed in 5 carrier networks

CMS Care Compare: Found in Care Compare with 4 locations

Trust Evaluation

identity:0.75Strong

licensure:0.20Critical

activity:

Dimension Scores

Composite0.72

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.20 — Critical

DORA license expired or revoked

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network1.00 — Strong

Listed in multiple carrier networks

Why is this provider classified as “needs review”?

Evidence across dimensions is contradictory or specific concerns exist (unverified license, FHIR directory contradiction). Manual review recommended.

Carrier Network Listings

5 networks across 4 carriers

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

Cigna(1 network)

1 DOI 6C-3

CignaDOI 6C-3

View carrier →

Kaiser Permanente(2 networks)

2 DOI 6C-3

Kaiser Permanente Insurance CoDOI 6C-3

View carrier →

Kaiser Permanente

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Diagnostic Radiology providers statewideView →All providers in LAKEWOOD 80228View →All providers classified as Needs ReviewView →

Known Addresses

NPPESLAKEWOOD, 80228

Care CompareDENVER, 80211

Care CompareLAKEWOOD, 80228

Care ComparePARKER, 80134

Care CompareWESTMINSTER, 80021

Evidence

9372 items across 16 assertions from 12 sources

Connected Records

Colorado License

Transferred to Compact Physician

DORA

Practice Address

PARKER, 80134

cms_care_compare, NPPES

Carrier Network Listing

Listed in 5 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Cigna, TiC: Kaiser Permanente Insurance Company, TiC: Aetna, TiC: Kaiser Permanente

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

4,875 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9347 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORAweight 0.98 · Mar 13, 2026

Matched via: license_number

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Order/Referring EligibilityTrust: 0.95

↓cms_order_referweight 0.95 · Mar 11, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Cigna8 records ·weight 0.80 · Latest: Mar 11, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Transferred to Compact Physician

Mar 12, 2026NPPES record: active

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Carrier listing: Cigna

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 11, 2026Carrier listing: Aetna

Mar 6, 2026Practice address: PARKER, 80134

Mar 6, 2026Practice address: LAKEWOOD, 80228

Mar 6, 2026

Evidence

Loading evidence lineage...

Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.

Evidence

9372 items across 16 assertions from 12 sources

Connected Records

Colorado License

Transferred to Compact Physician

DORA

Practice Address

PARKER, 80134

cms_care_compare, NPPES

Carrier Network Listing

Listed in 5 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Cigna, TiC: Kaiser Permanente Insurance Company, TiC: Aetna, TiC: Kaiser Permanente

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

4,875 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9347 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORAweight 0.98 · Mar 13, 2026

Matched via: license_number

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Order/Referring EligibilityTrust: 0.95

↓cms_order_referweight 0.95 · Mar 11, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Cigna8 records ·weight 0.80 · Latest: Mar 11, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Transferred to Compact Physician

Mar 12, 2026NPPES record: active

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Carrier listing: Cigna

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 11, 2026Carrier listing: Aetna

Mar 6, 2026Practice address: PARKER, 80134

Mar 6, 2026Practice address: LAKEWOOD, 80228

Mar 6, 2026