DR. KENNETH ROBERT LEE (MD) – Anatomic Pathology Physician, NPI 1174512867
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $254 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050907000554 | I | Pathology | MA | 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 02445)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MA | 88342 | Tissue or cell analysis by immunologic technique | 21 | 17 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Physician Assistant | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | MA | |
| Physician Assistant | NH | |
| Nurse Practitioner | MA | |
| P A T H O L O G Y | MA |
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