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Deactivated NPI 1831196336 Deactivated / Inactive NPI Male Practitioner

Kenneth Robert Lear , PA-C

Physician Assistant - Surgical • Oak Park Heights, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Lear has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2005
NPI Deactivation Date February 15, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Lear, PA-C was a registered Physician Assistant - Surgical practicing in Oak Park Heights, MN. Throughout an active medical career spanning 18 years, Kenneth Lear provided care at the practice location at 5803 NEAL AVE N until profile deactivation on 2023-02-15.

Historical Medicare Part B clinical services included replacement of thigh bone and hip joint with prosthesis, replacement of knee joint, both sides of knee. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5803 Neal Ave N

Oak Park Heights, MN 550822177

Telephone 6514398807
Fax 6514390232
Associated Practice Facility / Clinic
🏢 St. Croix Orthopaedics, Pa Facility NPI 1255337945

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Oak Park Heights, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Oak Park Heights, MN (229 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis
22 22 $1741.95 $175.93
27447 Replacement of knee joint, both sides of knee
16 16 $1743.50 $175.88

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MN 8813

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anne Merrill , PA-C

Physician Assistant

NPI 1003966706

Physician Assistant (Certified)

Jennifer Ellis , PA-C

Physician Assistant

NPI 1013986611

Physician Assistant (Certified)

Dr. Troy Vargas , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023014784

Doctor of Podiatric Medicine

Dr. Nathan Wanderman , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1033598321

Doctor of Medicine (M.D.)

Dr. Bryan Den Hartog , MD

Orthopaedic Surgery

NPI 1043299738

Doctor of Medicine (M.D.)

Dr. Justin Nicol , DPT

Physical Therapist

NPI 1043601784

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2015

Registered at 5803 NEAL AVE N, OAK PARK HEIGHTS, MN 550822177 (Tel: 6514398807)

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Updated Business Mailing Address June 30, 2015

Registered at 5803 NEAL AVE N, OAK PARK HEIGHTS, MN 550822177 (Tel: 6514398807)

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Provider Name / Credentials Updated June 30, 2015

Recorded as KENNETH LEAR, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Physician Assistant (License #8813 in MN)

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Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831196336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: June 30, 2015
Deactivation Date: February 15, 2023

Mailing Address

5803 Neal Ave N

Oak Park Heights, MN 550822177

Phone: 6514398807

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.