KEVIN R KENERSON (DO) – Family Medicine Physician, NPI 1043401672
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 FAMILY PRACTICE in ME
Provider Addresses for KEVIN R KENERSON (DO)
12 Shuman Ave Ste 6
Augusta, ME 043306020
Phone: (207) 307-0958
Fax: (207) 512-5909
Type: Location
174, Freeport Road, Freeport Mills, Bethel Township, Lebanon County, Pennsylvania, 17046, United States
SUITE 2A
FREEPORT, ME 040326145
Phone: (855) 239-3556
Fax: (207) 512-5909
Type: Mailing
174 S FREEPORT RD STE 2A
FREEPORT, ME 040326145
Phone: (207) 307-0958
Fax: (207) 512-5909
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Braeburn Inc. ($23).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $23 |
| Indivior Inc. | $20 |
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: 2009-09-15
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 |
|---|---|---|---|---|
| I20090915000210 | I | Family Practice | ME | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 28 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 16 | 11 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 12 | $0 |
Insurance plans in this area (ZIP 04330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Clinical Social Worker | ME |
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