KENNETH S HAZLETT (M.D.) – Diagnostic Radiology Physician, NPI 1023026945

KENNETH S HAZLETT (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME70170 (FL). The NPI Number for KENNETH S HAZLETT (M.D.) is 1023026945

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH S HAZLETT (M.D.)
NPI
1023026945
Phone
(866) 744-1461
Address
PO BOX 2400
Enumeration Date
4 August 2006
Last Update Date
5 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3214349000
Graduation Year
1994 (32 years ago)
PAC ID
5496825762
Group Practice PAC ID
1850535048
Professional Enrollment ID
I20080529000816
Address ID
FL329405997ME8731XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for KENNETH S HAZLETT (M.D.)

  • Brandywine Stables, 2400, Brandywine Lane, West Melbourne, June Park, Brevard County, Florida, 32904, United States

    MELBOURNE, FL 329022400

    Phone: (866) 744-1461

    Fax: (770) 621-3181

    Type: Mailing

  • West Cocoa Beach Causeway, Cocoa Beach, Brevard County, Florida, 32931, United States

    COCOA BEACH, FL 329313585

    Phone: (321) 799-7111

    Fax: (770) 237-4866

    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: 2008-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080529000816IDiagnostic RadiologyFLTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,96022$0
71045X-ray of chest, 1 view1,048950$0
70450Ct scan head or brain without contrast430419$0
71046X-ray of chest, 2 views430415$0
71250Ct scan of chest without contrast359342$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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Provider's Procedures

KENNETH S HAZLETT (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL73630X-ray of foot, minimum of 3 views2424
DIAGNOSTIC RADIOLOGYFL71010X-ray of chest, 1 view, front926842
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast171167
DIAGNOSTIC RADIOLOGYFL77012Radiological supervision and interpretation of CT guidance for needle insertion3232
DIAGNOSTIC RADIOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh5752

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: 1850535048View full group profile
NameSpecialtyState
-FL
A N E S T H E S I O L O G YFL
Diagnostic RadiologyFL
Emergency MedicineFL
Nurse PractitionerNC
-FL
-FL
-FL
Certified Registered Nurse Anesthetist (Crna)NJ
Diagnostic RadiologyFL

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Frequently asked questions

What is the standard ID for KENNETH S HAZLETT (M.D.) in the U.S.?
In the U.S., KENNETH S HAZLETT (M.D.) is identified by NPI 1023026945.
Quick check: is KENNETH S HAZLETT (M.D.) active?
Public NPPES data shows KENNETH S HAZLETT (M.D.) with an active NPI status right now.
Which specialty label fits KENNETH S HAZLETT (M.D.)?
NPPES ties KENNETH S HAZLETT (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KENNETH S HAZLETT (M.D.) in Melbourne, Florida?
For routing, start with Melbourne, Florida for KENNETH S HAZLETT (M.D.), then verify phone and hours locally.
Can I export KENNETH S HAZLETT (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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