KENNETH H LEESE (M.D.) – Surgery Physician, NPI 1316964356

KENNETH H LEESE (M.D.) is a healthcare provider. based in Haddon heights, New Jersey. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 25MA02077500 (NJ). The NPI Number for KENNETH H LEESE (M.D.) is 1316964356

Main info

Male
Sole Proprietor
62 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH H LEESE (M.D.)
NPI
1316964356
Phone
(856) 796-9200
Address
500 GROVE ST
Enumeration Date
16 July 2006
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8562562063
Graduation Year
1964 (62 years ago)
PAC ID
7214981406
Group Practice PAC ID
6002097953
Professional Enrollment ID
I20050310000411
Address ID
NJ080802335SE543XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

984 GENERAL SURGERY in NJ

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Provider Addresses for KENNETH H LEESE (M.D.)

  • 500, Grove Street, Haddon Heights, Camden County, New Jersey, 08035, United States

    SUITE 100

    HADDON HEIGHTS, NJ 080351761

    Phone: (856) 796-9200

    Fax: (856) 796-7397

    Type: Mailing

  • Our Lady of Lourdes Medical Center, 1600, Haddon Avenue, Parkside, Camden, Camden County, New Jersey, 08103, United States

    WOUND CARE

    CAMDEN, NJ 081033101

    Phone: (856) 546-3900

    Fax: (856) 546-3908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$16
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: 2005-03-10

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
I20050310000411IGeneral SurgeryNJTBD

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
97597Removal of tissue from wound, 20.0 sq cm or less13747$0
99213Established patient office or other outpatient visit, 20-29 minutes5030$0
99214Established patient office or other outpatient visit, 30-39 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 08035)

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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: 6002097953View full group profile
NameSpecialtyState
Emergency MedicineNJ
General SurgeryPA
Family PracticeNJ
Emergency MedicinePA
-NJ
Nurse PractitionerNJ
General Surgery, Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Can I cross-check KENNETH H LEESE (M.D.) using NPI 1316964356?
NPI 1316964356 belongs to KENNETH H LEESE (M.D.); compare other details if you need extra assurance.
Would KENNETH H LEESE (M.D.) appear as active to a payer?
You can treat KENNETH H LEESE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KENNETH H LEESE (M.D.)?
KENNETH H LEESE (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KENNETH H LEESE (M.D.) associated with Haddon Heights?
Public fields place KENNETH H LEESE (M.D.) around Haddon Heights, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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