CALEB A KENNON (MD) – Anesthesiology Physician, NPI 1144789918
Anesthesiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
756 ANESTHESIOLOGY in KY
Provider Addresses for CALEB A KENNON (MD)
800 ROSE STREET ANESTHESIOLOGY
LEXINGTON, KY 405360293
Phone: (859) 218-0069
Fax: (859) 323-1080
Type: Mailing
1320 W MAIN ST
NEWARK, OH 430551822
Phone: (220) 564-4201
Fax: (220) 564-4219
Type: Mailing
2410 Susannah St
Johnson City, TN 376011748
Phone: (423) 282-9011
Fax: (423) 282-0035
Type: Location
800 Rose St
Lexington, KY 405360293
Phone: (859) 323-5956
Fax: (859) 323-1080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $3,243.
Total Amount is formed as General ($3,243) + Research ($0) + Ownership ($0) = $3,243.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Nevro Corp. ($1,947).
Total Amount
$3,243
General + Research + Ownership
Payments
22
Total payment records
General Amount
$3,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $1,947 |
| Abbott Laboratories | $520 |
| Boston Scientific Corporation | $276 |
| PAINTEQ LLC | $166 |
| TerSera Therapeutics LLC | $121 |
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: 2025-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240909004454 | I | Anesthesiology | KY | TBD |
| I20241114003182 | I | Anesthesiology | TN | TBD |
| I20251007002942 | I | Anesthesiology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | TN | |
| Orthopedic Surgery | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Orthopedic Surgery | TN | |
| Family Practice | TN |
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