KENNETH BRUCE LIEGNER M.D., P.C.
NPI 1912140997
Internal Medicine in Pawling, NY

Active since April 07, 2009Opted out of Medicare · through Jan 16, 2028CLIA 33D0137446 · Waiver
592 ROUTE 22, SUITE 1B, PAWLING, NY 12564(845) 493-0274(845) 493-0279 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Bruce Liegner M.d., P.c. NPPES

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

KENNETH BRUCE LIEGNER M.D., P.C. (NPI 1912140997) is an individual internal medicine provider in Pawling, New York, licensed in New York (132316) and active in the NPI registry since April 2009. He has opted out of Medicare through January 16, 2028 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1912140997
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH BRUCE LIEGNERCredential: M.D., P.C.
Location Address592 ROUTE 22, SUITE 1BPawling, NY 12564
Mailing Address55 Route 22, Suite 1bPawling, NY 12564 · (845) 493-0274 · Fax (845) 493-0279
Fax(845) 493-0279
Sole ProprietorYes
Enumeration DateApril 7, 2009
Last NPPES UpdateSeptember 7, 2010
NPI 1912140997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 132316
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
592 ROUTE 22, Pawling, NY 12564

Other Identifiers 1

Medicare UPINE87408NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kenneth Bruce Liegner M.d., P.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2014 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2014
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0137446

Kenneth B Liegner MD PC · Pawling, NY
Active · expires Aug 31, 2026
CLIA Number33D0137446
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Kenneth B. Liegner
Laboratory Phone(845) 493-0274
Laboratory LocationKenneth B Liegner MD PC592 Route 22, Suite 1 B, Pawling, NY 12564
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12564 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
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 Kenneth Liegner's NPI number?

The NPI number for Kenneth Liegner is 1912140997. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Kenneth Liegner located?

Kenneth Liegner practices at 592 Route 22 Suite 1B, Pawling, NY 12564. The listed phone number is (845) 493-0274.

What is Kenneth Liegner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Liegner enrolled in Medicare?

No. Kenneth Liegner has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Kenneth Liegner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0137446) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth Liegner was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.