KENNETH J BRISLIN (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1922090257

KENNETH J BRISLIN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD074181L (PA). The NPI Number for KENNETH J BRISLIN (MD) is 1922090257

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH J BRISLIN (MD)
NPI
1922090257
Phone
(610) 973-1700
Address
PO BOX 848269
Enumeration Date
23 August 2005
Last Update Date
16 January 2014

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6109736200
Graduation Year
1998 (28 years ago)
PAC ID
3870566847
Group Practice PAC ID
7214841170
Professional Enrollment ID
I20040818000393
Address ID
PA181049168AL250XXRDXX306
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

1,620 ORTHOPEDIC SURGERY in PA

Provider Addresses for KENNETH J BRISLIN (MD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022848269

    Phone: (610) 973-1700

    Fax: (610) 973-1778

    Type: Mailing

  • 250 CETRONIA ROAD

    SUITE 303

    ALLENTOWN, PA 181049168

    Phone: (610) 973-6200

    Fax: (610) 973-6546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $379.

Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Arthrex, Inc. ($79).

Total Amount

$379

General + Research + Ownership

Payments

12

Total payment records

General Amount

$379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2004-08-18

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
I20040818000393IOrthopedic SurgeryPATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg920128$0
99213Established patient office or other outpatient visit, 20-29 minutes481281$0
20610Aspiration and/or injection of fluid from large joint308181$0
73030X-ray of shoulder, minimum of 2 views252160$0
99214Established patient office or other outpatient visit, 30-39 minutes245201$0
View full utilization report →

Insurance plans in this area (ZIP 02284)

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Provider's Procedures

KENNETH J BRISLIN (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA73562X-ray of knee, 3 views7554

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: 7214841170View full group profile
NameSpecialtyState
-PA
Hand Surgery, Orthopedic SurgeryPA
Physician AssistantMA
Orthopedic Surgery, Sports MedicineMA
-PA
Nurse PractitionerPA
-MA
Occupational Therapist In Private PracticePA
Orthopedic Surgery, Thoracic SurgeryPA
Physician AssistantPA

Reviews

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Frequently asked questions

Is there an official ID for KENNETH J BRISLIN (MD) in U.S. healthcare records?
The official identifier for KENNETH J BRISLIN (MD) is NPI 1922090257.
Would KENNETH J BRISLIN (MD) appear as active to a payer?
You can treat KENNETH J BRISLIN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KENNETH J BRISLIN (MD)?
At a glance, KENNETH J BRISLIN (MD) is tied to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KENNETH J BRISLIN (MD)?
Directory geography for KENNETH J BRISLIN (MD) centers on Boston, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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