KENNETH J. WESTERHEIDE (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1679566889

KENNETH J. WESTERHEIDE (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 35080963 (OH). The NPI Number for KENNETH J. WESTERHEIDE (M.D.) is 1679566889

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH J. WESTERHEIDE (M.D.)
NPI
1679566889
Phone
(614) 545-7900
Address
170 TAYLOR STATION RD
Enumeration Date
24 August 2005
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6148278700
Graduation Year
1997 (29 years ago)
PAC ID
1951386812
Group Practice PAC ID
3072598283
Professional Enrollment ID
I20040706000653
Address ID
OH432202246UP4605XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

341 SPORTS MEDICINE in OH

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Provider Addresses for KENNETH J. WESTERHEIDE (M.D.)

  • 170, Taylor Station Road, Taylor Station, Columbus, Ohio, 43213, United States

    COLUMBUS, OH 432134441

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Mailing

  • 340 POLARIS PKWY

    WESTERVILLE, OH 430827971

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Mailing

  • 605 CRESCENT PL

    GAHANNA, OH 432303086

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-06

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
I20040706000653ISports MedicineOHTBD

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 mg805223$0
20610Aspiration and/or injection of fluid from large joint354226$0
99213Established patient office or other outpatient visit, 20-29 minutes262182$0
99214Established patient office or other outpatient visit, 30-39 minutes248192$0
73030X-ray of shoulder, minimum of 2 views235173$0
View full utilization report →

Insurance plans in this area (ZIP 43213)

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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: 3072598283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Sports Medicine, Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Physician AssistantOH
Physical Therapist In Private PracticeOH
Physician AssistantOH
-OH
-OH
-OH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to KENNETH J. WESTERHEIDE (M.D.)?
The federal identifier for KENNETH J. WESTERHEIDE (M.D.) is NPI 1679566889.
Is KENNETH J. WESTERHEIDE (M.D.)'s NPI currently valid?
The extract we use shows KENNETH J. WESTERHEIDE (M.D.) as active.
What kind of provider is KENNETH J. WESTERHEIDE (M.D.)?
The page reflects Sports Medicine (Orthopaedic Surgery) Physician for KENNETH J. WESTERHEIDE (M.D.). Clinical services aligned with this taxonomy classification.
Where is KENNETH J. WESTERHEIDE (M.D.)'s primary listing?
We display Columbus, Ohio because that is what the record indicates for KENNETH J. WESTERHEIDE (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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