DR. KENNETH ROBERT LEE (MD) – Anatomic Pathology Physician, NPI 1174512867

DR. KENNETH ROBERT LEE (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in Anatomic Pathology Physician. They hold the professional credentials MD. They hold a License No. 79108 (MA). The NPI Number for DR. KENNETH ROBERT LEE (MD) is 1174512867

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ROBERT LEE (MD)
NPI
1174512867
Phone
(617) 582-1200
Address
111 CYPRESS ST
Enumeration Date
17 October 2005
Last Update Date
19 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
6177325500
Graduation Year
1973 (53 years ago)
PAC ID
9133151566
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20050907000554
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. KENNETH ROBERT LEE (MD)

  • 107;111, Cypress Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States

    BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION

    BROOKLINE, MA 02445

    Phone: (617) 582-1200

    Type: Mailing

  • 75 FRANCIS STREET ARMORY 3

    BRIGHAM AND WOMENS HOSPITAL, DEPARTMENT OF PATHOLOGY

    BOSTON, MA 02115

    Phone: (617) 732-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Boston Scientific Corporation ($254).

Total Amount

$254

General + Research + Ownership

Payments

4

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-09-07

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
I20050907000554IPathologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02445)

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Provider's Procedures

DR. KENNETH ROBERT LEE (MD) performs procedures in Anatomic Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMA88342Tissue or cell analysis by immunologic technique2117

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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

What is DR. KENNETH ROBERT LEE (MD)'s NPI number?
DR. KENNETH ROBERT LEE (MD)'s NPI is 1174512867 — the number used across U.S. healthcare to identify this provider.
Is DR. KENNETH ROBERT LEE (MD) shown as active in public data?
Registry records indicate DR. KENNETH ROBERT LEE (MD) maintains an active NPI.
What expertise is attributed to DR. KENNETH ROBERT LEE (MD)?
DR. KENNETH ROBERT LEE (MD)'s specialty line reads Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KENNETH ROBERT LEE (MD)?
Directory geography for DR. KENNETH ROBERT LEE (MD) centers on Brookline, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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