KEN LEE MOLES (MD) – Family Medicine Physician, NPI 1396716379

KEN LEE MOLES (MD) is a healthcare provider. based in Burke, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101048454 (VA). The NPI Number for KEN LEE MOLES (MD) is 1396716379

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KEN LEE MOLES (MD)
NPI
1396716379
Phone
(703) 978-4200
Address
9409 B OLD BURKE LAKE RD
Enumeration Date
30 January 2006
Last Update Date
8 June 2010

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7035437920
Graduation Year
1989 (37 years ago)
PAC ID
7416138144
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20150715000143
Address ID
VA220153052BU9642XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

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Provider Addresses for KEN LEE MOLES (MD)

  • Old Burke Lake Road, Burke, Fairfax County, Virginia, 22015, United States

    BURKE, VA 22015

    Phone: (703) 978-4200

    Fax: (703) 503-8263

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: PFIZER INC. ($60).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2015-07-15

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
I20110228000889IFamily PracticeDCTBD
I20150715000143IFamily PracticeVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes334227$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit246246$0
36415Insertion of needle into vein for collection of blood sample214159$0
99213Established patient office or other outpatient visit, 20-29 minutes169126$0
90662Influenza vaccine split virus, preservative free3534$0
View full utilization report →

Insurance plans in this area (ZIP 22015)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Where can patients find KEN LEE MOLES (MD)'s NPI?
You can confirm KEN LEE MOLES (MD) with NPI 1396716379; it appears in the national provider directory.
Is KEN LEE MOLES (MD) currently active in the NPI registry?
CMS-published data lists KEN LEE MOLES (MD) as an active registrant.
What field does KEN LEE MOLES (MD) work in?
You can think of KEN LEE MOLES (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEN LEE MOLES (MD)?
The page summarizes Burke, Virginia for KEN LEE MOLES (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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