DR. KENNETH ALAN BECKER (M.D.) – Dermatology Physician, NPI 1275573867

DR. KENNETH ALAN BECKER (M.D.) is a healthcare provider. based in Saint petersburg, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 2006-01915 (NC). The NPI Number for DR. KENNETH ALAN BECKER (M.D.) is 1275573867

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ALAN BECKER (M.D.)
NPI
1275573867
Phone
(727) 821-0612
Address
3950 3rd St N Ste A
Enumeration Date
8 June 2006
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7279350503
Graduation Year
1998 (28 years ago)
PAC ID
9638276801
Group Practice PAC ID
8729077938
Professional Enrollment ID
I20231106001508
Address ID
FL337651452CL1801XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. KENNETH ALAN BECKER (M.D.)

  • 3950 3rd St N Ste A

    Saint Petersburg, FL 337036123

    Phone: (727) 821-0612

    Fax: (727) 822-5507

    Type: Location

  • 6776 54th Ave N

    Saint Petersburg, FL 337091405

    Phone: (727) 935-0510

    Fax: (727) 935-0511

    Type: Location

  • Chapel Hill Dermatology, 891, Willow Drive, Blue Hill District, Chapel Hill, Orange County, North Carolina, 27514, United States

    SUITE 1

    CHAPEL HILL, NC 275147077

    Phone: (919) 942-3106

    Fax: (919) 967-1674

    Type: Location

  • 90000, Hoey, Governors Club, Chapel Hill, Chatham County, North Carolina, 27517, United States

    CHAPEL HILL, NC 275178581

    Phone: (401) 741-7272

    Type: Mailing

  • PO BOX 23329

    NEW YORK, NY 100873329

    Phone: (410) 873-8500

    Fax: (410) 883-0876

    Type: Mailing

  • 1801 N BELCHER RD STE B

    CLEARWATER, FL 337651452

    Phone: (727) 935-0503

    Fax: (727) 935-0504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($97).

Total Amount

$369

General + Research + Ownership

Payments

16

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-06

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
I20231106001508IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths729172$0
99213Established patient office or other outpatient visit, 20-29 minutes311291$0
17000Destruction of precancer skin growth, 1 growth253236$0
99212Established patient office or other outpatient visit, 10-19 minutes172170$0
11102Biopsy of related skin growth, first growth144133$0
View full utilization report →

Insurance plans in this area (ZIP 33703)

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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: 8729077938View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physician AssistantFL
Physician AssistantFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantNY
D E R M A T O L O G YFL
Nurse PractitionerFL
Physician AssistantMD
Physician AssistantIA
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH ALAN BECKER (M.D.)?
NPI 1275573867 is assigned to DR. KENNETH ALAN BECKER (M.D.) under the national enumeration system.
Does this profile mean DR. KENNETH ALAN BECKER (M.D.) is currently active?
Yes — DR. KENNETH ALAN BECKER (M.D.) appears active in the national provider directory.
Does DR. KENNETH ALAN BECKER (M.D.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. KENNETH ALAN BECKER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. KENNETH ALAN BECKER (M.D.)'s primary listing?
We display Saint Petersburg, Florida because that is what the record indicates for DR. KENNETH ALAN BECKER (M.D.).
Is DR. KENNETH ALAN BECKER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1275573867. Always confirm identity and privileges with the practice and licensing boards.

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