MR. KENNETH CHARLES JR. BARIS (PA-C) – Physician Assistant, NPI 1811457583
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MR. KENNETH CHARLES JR. BARIS (PA-C)
540 REYNOLDS RD
CHEPACHET, RI 028141614
Phone: (401) 743-7054
Type: Mailing
420 SCRABBLETOWN RD STE A
NORTH KINGSTOWN, RI 028523638
Phone: (401) 268-5333
Fax: (855) 268-5333
Type: Location
Old Danielson Pike, South Foster, Foster, Providence County, Rhode Island, United States
FOSTER, RI 028251458
Phone: (401) 743-7054
Type: Mailing
Landmark Medical Center, 115, Cass Avenue, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States
WOONSOCKET, RI 028954705
Phone: (401) 769-4100
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 $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2023-04-27 • Largest payer in this snapshot: ABBVIE INC. ($137).
Total Amount
$137
General + Research + Ownership
Payments
2
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $137 |
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: 2019-05-28
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 |
|---|---|---|---|---|
| I20190528002074 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 11 | $0 |
Insurance plans in this area (ZIP 02814)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Clinical Psychologist | RI | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| Clinical Psychologist | RI | |
| Psychiatry, Geriatric Psychiatry | RI | |
| Mental Health Counselor | RI | |
| Clinical Psychologist | RI |
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