KENNETH PELLETIER PA-C
NPI 1265488662
Physician Assistant - Surgical in Raleigh, NC

Q: What is Kenneth Pelletier's NPI number?

The NPI number for Kenneth Pelletier is 1265488662. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Kenneth Pelletier's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Pelletier was last updated on August 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

3404 WAKE FOREST RD, STE 201, RALEIGH, NC 27609(919) 256-1511(919) 256-1530 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth Pelletier Pa-c NPPES

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

KENNETH PELLETIER PA-C (NPI 1265488662) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (102579) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1265488662

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKENNETH PELLETIERCredential: PA-C

Location Address3404 WAKE FOREST RD, STE 201Raleigh, NC 27609-7341

Mailing Address3404 Wake Forest Rd, Ste 201Raleigh, NC 27609-7341 · (919) 256-1511 · Fax (919) 256-1530

Phone(919) 256-1511

Fax(919) 256-1530

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 26, 2006

Last NPPES UpdateAugust 12, 2010

✔ NPI 1265488662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NC · 102579

3404 WAKE FOREST RD, Raleigh, NC 27609

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Other Identifiers 2

Medicare ID-Type Unspecified2749174B

Medicare UPIN568046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Pelletier Pa-c 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 ID3476678772

PECOS Enrollment IDI20100909001023

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 14

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

620 services69 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

158 services70 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.

155 services73 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

35 services31 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

31 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 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.

19 services18 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

17 services16 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

15 services15 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

14 services13 patients

Repair of chronic torn shoulder rotator cuff 23412

Repair of a chronic torn shoulder rotator cuff is a surgical procedure aimed at mending the damaged tendon in your shoulder. This helps restore shoulder strength and functionality, alleviating pain and discomfort caused by the tear.

13 services13 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

13 services13 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

13 services12 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340115

Location155 Memorial DrivePinehurst, NC 28374 · Moore County

Emergency services Birthing friendly

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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.

CASEY JOHNSON MS OTRL

Occupational Therapist (Hand)

3404 WAKE FOREST RD, SUITE 303
RALEIGH, NC 27609

Wake County (919) 872-3171

WINDSOR AUSTIN HOLT MD

Obstetrics & Gynecology

3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609

Wake County (919) 876-8225

MELISSA JO PETERSON NP-BC

Nurse Practitioner (Family)

3404 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 862-5400

MRS. MEGAN KATHLEEN BLACK MSN, APRN, AGNP-C

Nurse Practitioner

3404 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 862-5402

SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA

Clinic/Center (Multi-Specialty)

3404 WAKE FOREST RD, STE 201
RALEIGH, NC 27609

Wake County (919) 256-1511

DR. MICHAEL DAVID SPIRITOS M.D.

Internal Medicine (Hematology & Oncology)

3404 WAKE FOREST RD, SUITE 202
RALEIGH, NC 27609

Wake County (919) 954-3050

PRIVATE DIAGNOSTIC CLINIC, PLLC

Internal Medicine (Hematology & Oncology)

3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609

Wake County (919) 954-3050

PRIVATE DIAGNOSTIC CLINIC, PLLC

Surgery (Surgical Oncology)

3404 WAKE FOREST RD, SUITE 101
RALEIGH, NC 27609

Wake County (919) 954-3050

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 Pelletier's NPI number?

The NPI number for Kenneth Pelletier is 1265488662. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kenneth Pelletier located?

Kenneth Pelletier practices at 3404 Wake Forest Rd Ste 201, Raleigh, NC 27609. The listed phone number is (919) 256-1511.

What is Kenneth Pelletier's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kenneth Pelletier enrolled in Medicare?

Yes. Kenneth Pelletier 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.

What insurance does Kenneth Pelletier accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kenneth Pelletier 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 Kenneth Pelletier affiliated with any hospitals?

According to CMS data, Kenneth Pelletier is affiliated with Duke University Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Pelletier was last updated on August 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.