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KENNETH LEON DEAN JR. D.O.
NPI 1053708164
Obstetrics & Gynecology in Ithaca, NY

Active since April 16, 2015PECOS Enrolled
20 ARROWOOD DR, ITHACA, NY 14850(607) 266-7800 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1053708164
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKENNETH LEON DEAN JR.Credential: D.O.
Location Address20 ARROWOOD DRIthaca, NY 14850
Mailing Address20 Arrowood DrIthaca, NY 14850-1869 · (607) 266-7800
Phone(607) 266-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 16, 2015
Last NPPES UpdateJuly 19, 2019
✔ NPI 1053708164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 297664-1
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 ARROWOOD DR, Ithaca, NY 14850
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Secondary Practice Location 1

Location 120 Arrowood DrIthaca, NY 14850 · Phone (607) 266-7800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Leon Dean Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012092463
PECOS Enrollment IDI20230113000263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services11 patients

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, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DANIEL S JORGENSON M.D.
Plastic Surgery
20 ARROWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 216-0062
E JAMES FOGEL JR. M.D.
Obstetrics & Gynecology (Gynecology)
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800
STEVEN A GELBER M.D.
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800
OB-GYN ASSOCIATES OF ITHACA, LLP
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800
KATHLEEN E GARDNER M.D.
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800
KATHRYN A PIERCE CNM
Midwife
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800
ERIANNA FLORES CNM
Midwife
20 ARROWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 266-7800
LAURA MARGARET MACCARALD CNM
Midwife
20 ARROWOOD DR
ITHACA, NY 14850
Tompkins County (607) 266-7800

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 enrollment system.

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 with the weekly NPPES data releases published by CMS.