KENNETH KLECKNER (MD) – Emergency Medicine Physician, NPI 1003080623

KENNETH KLECKNER (MD) is a healthcare provider. based in Lititz, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 247889 (NY). The NPI Number for KENNETH KLECKNER (MD) is 1003080623

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH KLECKNER (MD)
NPI
1003080623
Phone
(717) 988-0000
Address
1500 Highlands Dr
Enumeration Date
15 April 2008
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7179880000
Graduation Year
2005 (21 years ago)
PAC ID
6406929488
Group Practice PAC ID
0143124701
Professional Enrollment ID
I20110809000045
Address ID
PA175437694LI1500XDRXX300

Contacts

Secure Messaging
kkleckner230104@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for KENNETH KLECKNER (MD)

  • 1500 Highlands Dr

    Lititz, PA 175437694

    Phone: (717) 988-0000

    Type: Location

  • 697, Jamaica Boulevard, Wrangell Brook Park, Toms River, Ocean County, New Jersey, 08757, United States

    SUITE 400

    TOMS RIVER, NJ 087540697

    Phone: (800) 528-0006

    Fax: (732) 349-6030

    Type: Mailing

  • Einstein Medical Center Philadelphia, 5501, Old York Road, Tabor, Philadelphia, Philadelphia County, Pennsylvania, 19141, United States

    EINSTEIN MEDICAL CENTER - PHILADELPHIA

    PHILADELPHIA, PA 191413018

    Phone: (215) 456-6679

    Fax: (215) 456-8502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-10-14 • Largest payer in this snapshot: CSL Behring ($25).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-14

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: 2011-08-09

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
I20110809000045IEmergency MedicinePATBD

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
99284Emergency department visit with moderate level of medical decision making191184$0
99285Emergency department visit with high level of medical decision making142137$0
99291Critical care, first 30-74 minutes3232$0
99283Emergency department visit with low level of medical decision making2221$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 17543)

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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: 0143124701View full group profile
NameSpecialtyState
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
Emergency MedicineMD
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicinePA

Reviews

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Frequently asked questions

How is KENNETH KLECKNER (MD) identified in CMS data?
CMS-hosted NPPES data lists KENNETH KLECKNER (MD) with NPI 1003080623.
Is KENNETH KLECKNER (MD) listed as active for patients and plans?
The listing shows KENNETH KLECKNER (MD) as active in the NPI system.
What is KENNETH KLECKNER (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for KENNETH KLECKNER (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH KLECKNER (MD) on a map?
Expect Lititz, Pennsylvania as a primary anchor for KENNETH KLECKNER (MD) unless the record lists multiple sites.
Why does KENNETH KLECKNER (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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