KENNETH LEON DEAN JR. D.O.
NPI 1053708164
Obstetrics & Gynecology in Ithaca, NY
About Kenneth Leon Dean Jr. D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH LEON DEAN JR. D.O. (NPI 1053708164) is an individual obstetrics & gynecology provider in Ithaca, New York, licensed in New York (297664-1) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and maintains a secondary practice location in Ithaca.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Leon Dean Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Dean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ithaca, NY 14850
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Dean's NPI number?
The NPI number for Kenneth Dean is 1053708164. It was assigned to this individual provider in the NPPES registry on April 16, 2015.
Where is Kenneth Dean located?
Kenneth Dean practices at 20 Arrowood Dr, Ithaca, NY 14850. The listed phone number is (607) 266-7800.
What is Kenneth Dean's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kenneth Dean enrolled in Medicare?
Yes. Kenneth Dean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenneth Dean's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dean reassigns Medicare benefits to Ob-Gyn Associates Of Ithaca, LLP (Ithaca, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Dean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Dean affiliated with any hospitals?
According to CMS data, Kenneth Dean is affiliated with Cayuga Medical Center At Ithaca.
When was this NPI record last updated?
The NPPES record for Kenneth Dean was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Leon Dean Jr., D.O. · NPI 1053708164
Obstetrics & Gynecology physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since April 16, 2015.
## Identity
- **NPI:** 1053708164 (Entity type: Individual)
- **Enumerated:** April 16, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 297664-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 ARROWOOD DR, Ithaca, NY 14850
- **Phone:** (607) 266-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ob-Gyn Associates Of Ithaca, LLP (NPI 1437229945, Ithaca, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 19, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1053708164) · Data from the CMS NPPES public registry.