KENNETH A SON (MD) – Urology Physician, NPI 1417048331
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,491 HOSPITALIST in FL
Provider Addresses for KENNETH A SON (MD)
463820 SR 200, Suite 103
Yulee, FL 32097
Phone: (904) 225-8200
Fax: (904) 225-9154
Type: Location
619 S 8th St Ste 304
Griffin, GA 302244260
Phone: (706) 242-5201
Type: Location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 329313585
Phone: (321) 868-5871
Type: Location
PO BOX 2421
SALT LAKE CITY, UT 841102421
Phone: (904) 202-1034
Fax: (904) 376-4107
Type: Mailing
1348, South 18th Street, Fernandina Beach, Nassau County, Florida, 32034, United States
FERNANDINA BEACH, FL 320344785
Phone: (904) 227-2003
Fax: (904) 277-2006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,457.
Total Amount is formed as General ($1,457) + Research ($0) + Ownership ($0) = $1,457.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Teleflex LLC ($941).
Total Amount
$1,457
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,457
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $941 |
| Axonics, Inc. | $170 |
| PALETTE LIFE SCIENCES, INC. | $147 |
| Astellas Pharma US Inc | $125 |
| Boston Scientific Corporation | $75 |
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: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070402000134 | I | Urology | GA | TBD |
| I20111229000478 | I | Urology | FL | TBD |
| I20250414003013 | I | Urology | TX | TBD |
| I20250805001454 | I | Urology | KY | TBD |
| I20260204001909 | I | Urology | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 309 | 235 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 166 | 147 | $0 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 80 | 22 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 74 | 69 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 62 | 57 | $0 |
Insurance plans in this area (ZIP 32097)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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