KENNETH A CEARLOCK (MD) – Family Medicine Physician, NPI 1144214123

KENNETH A CEARLOCK (MD) is a healthcare provider. based in Cedar rapids, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 22198 (IA). The NPI Number for KENNETH A CEARLOCK (MD) is 1144214123

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH A CEARLOCK (MD)
NPI
1144214123
Phone
(319) 449-4052
Address
1951 51ST ST NE
Enumeration Date
7 September 2005
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3194494052
Graduation Year
1979 (47 years ago)
PAC ID
7315844537
Group Practice PAC ID
2163821604
Professional Enrollment ID
I20040203000808
Address ID
IA524022460CE1951XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for KENNETH A CEARLOCK (MD)

  • 1951 51ST ST NE

    CEDAR RAPIDS, IA 524022460

    Phone: (319) 449-4052

    Fax: (319) 442-4153

    Type: Mailing

  • 1951 51ST ST NE STE 1

    CEDAR RAPIDS, IA 524022460

    Phone: (319) 449-4052

    Fax: (319) 449-4153

    Type: Location

  • Physicians Clinic of Iowa, 202, 10th Street Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52405, United States

    CEDAR RAPIDS, IA 524032414

    Phone: (319) 364-7730

    Type: Mailing

  • 202 10th St SE

    Cedar Rapids, IA 524032414

    Phone: (319) 364-7730

    Type: Location

  • 1350 BOYSON RD STE 1

    HIAWATHA, IA 522332211

    Phone: (319) 449-4052

    Fax: (319) 442-4153

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,359.

Total Amount is formed as General ($2,359) + Research ($0) + Ownership ($0) = $2,359.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($633).

Total Amount

$2,359

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-02-03

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
I20040203000808IFamily PracticeIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes481221$0
99214Established patient office or other outpatient visit, 30-39 minutes252156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit109109$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes9420$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days8419$0
View full utilization report →

Insurance plans in this area (ZIP 52402)

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Provider's Procedures

KENNETH A CEARLOCK (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIA90670Pneumococcal vaccine for injection into muscle6060

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: 2163821604View full group profile
NameSpecialtyState
Nurse PractitionerIA

Reviews

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Frequently asked questions

Where can patients find KENNETH A CEARLOCK (MD)'s NPI?
You can confirm KENNETH A CEARLOCK (MD) with NPI 1144214123; it appears in the national provider directory.
Is KENNETH A CEARLOCK (MD) active in the national directory?
KENNETH A CEARLOCK (MD)'s public NPI profile is in an active state.
Does KENNETH A CEARLOCK (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for KENNETH A CEARLOCK (MD). Clinical services aligned with this taxonomy classification.
Does KENNETH A CEARLOCK (MD) practice in Iowa?
You will see Cedar Rapids, Iowa on file for KENNETH A CEARLOCK (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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