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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CALEB A KENNON MD
NPI 1144789918
Anesthesiology - Pain Medicine in Newark, OH

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
1320 W MAIN ST, NEWARK, OH 43055(220) 564-4201(220) 564-4219 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Oct 10, 2025, Sep 10, 2024 and 3 more (6 updates tracked since 2019).

About Caleb A Kennon Md NPPES

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

CALEB A KENNON MD (NPI 1144789918) is an individual pain medicine provider in Newark, Ohio, licensed in Ohio (35.154451) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144789918
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameCALEB A KENNONCredential: MD
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-4201 · Fax (220) 564-4219
Phone(220) 564-4201
Fax(220) 564-4219
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2018
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 15, 20266 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1144789918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in OH · 35.154451
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 58148 (KY), 71867 (TN)
1320 W MAIN ST, Newark, OH 43055
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12410 Susannah StJohnson City, TN 37601-1748 · Phone (423) 282-9011 ext. 402 · Fax (423) 282-0035
Location 2800 Rose StLexington, KY 40536-0293 · Phone (859) 323-5956 · Fax (859) 323-1080
Location 320 University Estates Blvd Unit 100Athens, OH 45701-2967 · Phone (740) 566-4640 · Fax (740) 566-4641
Location 4799 Farson St Ste 210Belpre, OH 45714-1083 · Phone (740) 423-3082 · Fax (740) 423-3083

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

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

Caleb A Kennon Md 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.

PECOS PAC ID345780060
PECOS Enrollment IDI20240909004454, I20251007002942
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Caleb Kennon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Licking Memorial Health Professionals
Same address
Family Medicine
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • 280 clinicians in this Medicare group
NPI 1326072265 (220) 564-4027
University Of Kentucky
180 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Kentucky Medical Services Foundation, Inc
182 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Watauga Orthopaedics Plc
256 mi
Orthopaedic Surgery
2410 SUSANNAH ST
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 63 clinicians in this Medicare group
NPI 1245251404 (423) 282-9011

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 3

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
165 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients
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.
17 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CRAIG BROMLEY D.O.
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4151
DR. PAUL GASTON DEL VALLE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4318
DR. THOM WOOD
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4144
JANINE C. SHIPLEY R.PH
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4195
DR. HARRISON FAITH OLEXO PHARMD, RPH
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (704) 898-1620
DR. ROBERT STEPHEN COOKE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4201
ANDREA SIMS APRN
Nurse Practitioner (Neonatal)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4000
DR. ANN GOVIER MD
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4226

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 Caleb Kennon's NPI number?

The NPI number for Caleb Kennon is 1144789918. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Caleb Kennon located?

Caleb Kennon practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4201.

What is Caleb Kennon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Caleb Kennon enrolled in Medicare?

Yes. Caleb Kennon 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 organizations bill Medicare for Caleb Kennon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Kennon reassigns Medicare benefits to 4 organizations: Licking Memorial Health Professionals (Newark, OH), University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Watauga Orthopaedics Plc (Johnson City, TN). Each 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 Caleb Kennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Kennon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Caleb Kennon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caleb Kennon affiliated with any hospitals?

According to CMS data, Caleb Kennon is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Caleb Kennon was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.