MR. KENNETH R DOVIDIO PA
NPI 1891812061
Physician Assistant in North Andover, MA

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
555 TURNPIKE ST, STE 31, NORTH ANDOVER, MA 01845(978) 683-4299(978) 688-9603 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth R Dovidio Pa NPPES

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

MR. KENNETH R DOVIDIO PA (NPI 1891812061) is an individual physician assistant in North Andover, Massachusetts, licensed in Massachusetts (308) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1891812061
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH R DOVIDIOCredential: PA
Location Address555 TURNPIKE ST, STE 31North Andover, MA 01845-5923
Mailing Address555 Turnpike St, Ste 31North Andover, MA 01845-5923 · (978) 683-4299 · Fax (978) 688-9603
Fax(978) 688-9603
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 23, 2007
Last NPPES UpdateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
NPI 1891812061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · 308
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.
555 TURNPIKE ST, North Andover, MA 01845

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

Mr. Kenneth R Dovidio Pa 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 ID9638101751
PECOS Enrollment IDI20050908001060
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 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.

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.
136 services56 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.
86 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims63 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims19 services$1.17 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims2,846 services$0.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$22.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Dentist (Periodontics)
555 TURNPIKE ST, SUITE 42
NORTH ANDOVER, MA 01845
Specialist
555 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dentist (General Practice)
555 TURNPIKE ST, # 55
NORTH ANDOVER, MA 01845
Physician Assistant
555 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dietitian, Registered
555 TURNPIKE ST, SUITE #31
NORTH ANDOVER, MA 01845
Optometrist
555 TURNPIKE ST
NORTH ANDOVER, MA 01845
Dentist (Pediatric Dentistry)
555 TURNPIKE ST, SUITE 51
NORTH ANDOVER, MA 01845
Radiologic Technologist (Cardiovascular-Interventional Technology)
555 TURNPIKE ST, STE 31
NORTH ANDOVER, MA 01845

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 Dovidio's NPI number?

The NPI number for Kenneth Dovidio is 1891812061. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kenneth Dovidio located?

Kenneth Dovidio practices at 555 Turnpike St Ste 31, North Andover, MA 01845. The listed phone number is (978) 683-4299.

What is Kenneth Dovidio's specialty?

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

Is Kenneth Dovidio enrolled in Medicare?

Yes. Kenneth Dovidio 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.

Is Kenneth Dovidio affiliated with any hospitals?

According to CMS data, Kenneth Dovidio is affiliated with Lawrence General Hospital, Holy Family Hospital, Brigham And Women's Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Kenneth Dovidio was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.