KENNETH C. GRAFFEO (M.D.) – Surgery Physician, NPI 1134217862
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for KENNETH C. GRAFFEO (M.D.)
DEPT L-3652
COLUMBUS, OH 432603652
Phone: (740) 615-1324
Fax: (740) 615-1344
Type: Mailing
PO BOX 7527
DUBLIN, OH 430170727
Phone: (740) 615-1324
Fax: (740) 615-1344
Type: Mailing
551 W CENTRAL AVE STE 103
DELAWARE, OH 430151498
Phone: (740) 363-1473
Fax: (740) 369-5718
Type: Location
90, East William Street, Sandusky Street Historic District, Delaware, Delaware County, Ohio, 43015, United States
DELAWARE SURGICAL SPECIALIST
DELAWARE, OH 430152149
Phone: (740) 363-1473
Fax: (740) 369-5718
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($35).
Total Amount
$35
General + Research + Ownership
Payments
1
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $35 |
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: 2004-09-21
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 |
|---|---|---|---|---|
| I20040921001099 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 108 | 106 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | 66 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 56 | 56 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 19 | $0 |
Insurance plans in this area (ZIP 43260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 14 | 14 |
| GENERAL SURGERY | OH | 45378 | Diagnostic examination of large bowel using an endoscope | 19 | 19 |
| GENERAL SURGERY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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