LEE KENYON (DO) – Sports Medicine (Family Medicine) Physician, NPI 1942688833

LEE KENYON (DO) is a healthcare provider. based in Beachwood, Ohio. specializing in SPORTS MEDICINE, FAMILY PRACTICE, SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 64116 (MN). The NPI Number for LEE KENYON (DO) is 1942688833

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LEE KENYON (DO)
NPI
1942688833
Phone
(605) 929-9274
Address
400 PARK AVE APT 216
Enumeration Date
11 May 2015
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153953950
Graduation Year
2017 (9 years ago)
PAC ID
5193097954
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20250430003483
Address ID
WI548806548SU109XXEXXX500

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

341 SPORTS MEDICINE in OH

Provider Addresses for LEE KENYON (DO)

  • 400 PARK AVE APT 216

    BEACHWOOD, OH 441224283

    Phone: (605) 929-9274

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (605) 929-9274

    Type: Location

  • 1012 E 2ND ST

    DULUTH, MN 558052200

    Phone: (218) 249-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$20
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: 2025-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180815003959ISports MedicineMNTBD
I20250430003483IFamily PracticeWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8866$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance8656$0
99214Established patient office or other outpatient visit, 30-39 minutes3732$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

Loading plans...

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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for LEE KENYON (DO) in U.S. healthcare records?
The official identifier for LEE KENYON (DO) is NPI 1942688833.
Is LEE KENYON (DO) still an active registrant?
LEE KENYON (DO) carries an active NPI according to the public dataset.
What kind of doctor is LEE KENYON (DO)?
LEE KENYON (DO) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LEE KENYON (DO)?
Directory geography for LEE KENYON (DO) centers on Beachwood, Ohio.
When was this NPI issued?
Enumeration for LEE KENYON (DO) is noted as May 11, 2015 where the registry provides it.

Similar Providers

Auburn Drive, Beachwood, Cuyahoga County, Ohio, 44122, United States
NPI: 1144471152

DR. HARALAMBOS TZINIS (D.O.)

Sports Medicine (Family Medicine) Physician
20800 HARVARD RD FL 2
NPI: 1467728949

MARIE ANN SCHAEFER (M.D.)

Sports Medicine (Family Medicine) Physician
26900 CEDAR RD
NPI: 1033479720