KENNETH E LYNCH (MD) – Diagnostic Radiology Physician, NPI 1023093069

KENNETH E LYNCH (MD) is a healthcare provider. based in Surfside, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. G17130 (CA). The NPI Number for KENNETH E LYNCH (MD) is 1023093069

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH E LYNCH (MD)
NPI
1023093069
Phone
(714) 889-9659
Address
PO BOX 187
Enumeration Date
13 December 2005
Last Update Date
13 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
86621837545002
Graduation Year
1968 (58 years ago)
PAC ID
3678477502
Group Practice PAC ID
2062734858
Professional Enrollment ID
I20181217000350
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for KENNETH E LYNCH (MD)

  • PO BOX 187

    SURFSIDE, CA 907430187

    Phone: (714) 889-9659

    Fax: (562) 217-1317

    Type: Mailing

  • Surfside Avenue, Sunset Beach, Surfside, Seal Beach, Orange County, California, 90742, United States

    SURFSIDE, CA 907430187

    Phone: (714) 889-9659

    Fax: (562) 217-1315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041206001167IDiagnostic RadiologyCATBD
I20181217000350IDiagnostic RadiologyTXTBD
I20190509000056IDiagnostic RadiologyNCTBD
I20190515003322IDiagnostic RadiologyNVTBD
I20210622003637IDiagnostic RadiologyFLTBD
I20220602000101IDiagnostic RadiologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view378284$0
74018X-ray of abdomen, 1 view10285$0
70450Ct scan head or brain without contrast1717$0
View full utilization report →

Insurance plans in this area (ZIP 90743)

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Provider's Procedures

KENNETH E LYNCH (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front1634949
DIAGNOSTIC RADIOLOGYCA71250CT scan chest8983
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views1311

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062734858View full group profile
NameSpecialtyState
-FL
-OH
Diagnostic RadiologyTX
Diagnostic RadiologyKS
-ID
Diagnostic RadiologyNJ
Diagnostic RadiologyTX
Diagnostic RadiologyAZ
Diagnostic RadiologyHI
-KS

Reviews

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Frequently asked questions

What is KENNETH E LYNCH (MD)'s NPI number?
KENNETH E LYNCH (MD)'s NPI is 1023093069 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KENNETH E LYNCH (MD)?
For scheduling context, KENNETH E LYNCH (MD) is shown as active in the registry.
What area of care is associated with KENNETH E LYNCH (MD)?
KENNETH E LYNCH (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is KENNETH E LYNCH (MD) associated with Surfside?
Public fields place KENNETH E LYNCH (MD) around Surfside, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for KENNETH E LYNCH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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