LEE KENYON DO
NPI 1942688833
Family Medicine - Sports Medicine in Duluth, MN

Q: What is Lee Kenyon's NPI number?

The NPI number for Lee Kenyon is 1942688833. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Lee Kenyon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Lee Kenyon was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment

1012 E 2ND ST, DULUTH, MN 55805(218) 249-5555 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2023, Aug 26, 2021, Oct 29, 2020 and 3 more (6 updates tracked since 2017).

On this page

About Lee Kenyon Do NPPES

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

LEE KENYON DO (NPI 1942688833) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (64116) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942688833

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameLEE KENYONCredential: DO

Location Address1012 E 2ND STDuluth, MN 55805-2200

Mailing Address1012 E 2nd StDuluth, MN 55805-2200 · (218) 249-5555

Phone(218) 249-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 11, 2015

Last NPPES UpdateJuly 24, 20236 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1942688833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MN · 64116

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 64116 (MN)

1012 E 2ND ST, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Lee Kenyon Do 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 ID5193097954

PECOS Enrollment IDI20180815003959, I20250430003483

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 Reassignment

Medicare enrollment records show Lee Kenyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Luke's Hospital Of Duluth

Same address

Emergency Medicine

1012 E 2ND ST
Duluth, MN 55805

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
Also billed through NPI 1497904064 (Wisconsin)
513 clinicians in this Medicare group

NPI 1023062791 (218) 249-5555

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 6

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.

81 services62 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

69 services52 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.

45 services37 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.

25 services25 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.

23 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241364

Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

ST. LUKE'S HOSPITAL OF DULUTH

Emergency Medicine