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STEPHEN T KENNESON PA
NPI 1124178967
Physician Assistant in Boston, MA

Active since January 12, 2007PECOS Enrolled
MASSACHUSETTS GENERAL HOSPITAL CARDIAC SURGERY, 55 FRUIT STREET, BOSTON, MA 02114(617) 726-1861 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen T Kenneson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN T KENNESON PA (NPI 1124178967) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (527) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124178967
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN T KENNESONCredential: PA
Location AddressMASSACHUSETTS GENERAL HOSPITAL CARDIAC SURGERY, 55 FRUIT STREETBoston, MA 02114
Mailing Address163 Gleasondale RdStow, MA 01775-1334
Phone(617) 726-1861
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1124178967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 527
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 527 (MA)
MASSACHUSETTS GENERAL HOSPITAL CARDIAC SURGERY, Boston, MA 02114
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen T Kenneson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Stephen Kenneson's NPI number?

The NPI number for Stephen Kenneson is 1124178967. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Stephen Kenneson located?

Stephen Kenneson practices at Massachusetts General Hospital Cardiac Surgery 55 Fruit Street, Boston, MA 02114. The listed phone number is (617) 726-1861.

What is Stephen Kenneson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephen Kenneson enrolled in Medicare?

Yes. Stephen Kenneson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Kenneson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.