DR. KENNETH K TIEU (M.D.) – Surgery Physician, NPI 1902122781
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for DR. KENNETH K TIEU (M.D.)
3300 S FISKE BLVD
ROCKLEDGE, FL 329554306
Phone: (321) 434-9230
Type: Mailing
1223 Gateway Dr Ste 2B
Melbourne, FL 329012607
Phone: (321) 434-9230
Fax: (321) 434-9269
Type: Location
1810 Eldron Blvd SE
Palm Bay, FL 329096831
Phone: (321) 434-9230
Fax: (321) 434-9269
Type: Location
8725 N WICKHAM RD STE 200
MELBOURNE, FL 329402240
Phone: (321) 434-9230
Fax: (321) 434-9269
Type: Location
8725 N WICKHAM RD
MELBOURNE, FL 329402239
Phone: (321) 434-9230
Fax: (321) 434-9269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $8,688.
Total Amount is formed as General ($8,688) + Research ($0) + Ownership ($0) = $8,688.
Last reported payment date: 2023-10-02 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($4,680).
Total Amount
$8,688
General + Research + Ownership
Payments
18
Total payment records
General Amount
$8,688
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $4,680 |
| Ethicon US, LLC | $3,551 |
| W. L. Gore & Associates, Inc. | $156 |
| Intuitive Surgical, Inc. | $143 |
| Medtronic, Inc. | $111 |
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: 2012-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121109000486 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 177 | 177 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 167 | 137 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 120 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 80 | $0 |
| 91035 | Monitoring and recording of esophageal function through a capsule attached to the esophagus wall | 54 | 54 | $0 |
Insurance plans in this area (ZIP 32955)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | FL | 46600 | Diagnostic examination of the anus using an endoscope | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Family Practice | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.