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Active NPI 1144789918 Individual Practitioner Male Practitioner

Dr. Caleb A Kennon , MD

Anesthesiology • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Caleb Kennon, MD is a certified Anesthesiology practicing in Newark, OH. With approximately 8 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 2018, Dr. Kennon delivers high-quality medical care to the local community at 1320 W MAIN ST.

Dr. Kennon maintains professional affiliations with Licking Memorial Health Professionals, Watauga Orthopaedics Plc, Kentucky Medical Services Foundation, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1320 W Main St

Newark, OH 430551822

Telephone 2205644201
Fax 2205644219
Associated Practice Facility / Clinic
🏢 Licking Memorial Hospital Facility NPI 1568446755

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Newark, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.9 yrs vs City Avg
City Avg: 18.9 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Newark, OH (2153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennon (8 Years) 8 Yrs
Newark Specialty Average (18.9 Years) 18.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
165 15 $9.00 $0.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 23 $181.50 $117.92
99213 Established patient office or other outpatient visit, typically 15 minutes
17 15 $125.00 $80.73

Medical Specialties & State Licenses

CMS Verified: 2025-10-10
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OH 35.154451

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License TN 71867

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License KY 58148

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Licking Memorial Health Professionals

1320 W Main St, Newark, OH 430551822

Phone: 2205644226

Watauga Orthopaedics Plc

2410 Susannah St, Johnson City, TN 376011748

Phone: 4232829011

Kentucky Medical Services Foundation, Inc

800 Rose St, Lexington, KY 405360001

Phone: 8593235000

Secondary Practice Locations

2410 Susannah St

Johnson City, TN 376011748

Phone: 4232829011

800 Rose St

Lexington, KY 405360293

Phone: 8593235956

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1053391375

Doctor of Medicine (M.D.)

Dr. Ann Govier , MD

Anesthesiology

NPI 1063411015

Doctor of Medicine (M.D.)

Mark Plaugher , CRNA

Nurse Anesthetist, Certified Registered

NPI 1306921770

Certified Registered Nurse Anesthetist

Dr. Henry Lu , MD

Anesthesiology

NPI 1558658914

Doctor of Medicine (M.D.)

NPI 1710108865

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 1320 W MAIN ST, NEWARK, OH 430551822 (Tel: 2205644201)

📍
Updated Business Mailing Address October 10, 2025

Registered at 1320 W MAIN ST, NEWARK, OH 430551822 (Tel: 2205644201)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2025

Anesthesiology (License #71867 in TN)

📍
Updated Practice Location September 10, 2024

Registered at 2410 SUSANNAH ST, JOHNSON CITY, TN 376011748 (Tel: 4232829011)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Anesthesiology (License #58148 in KY)

📍
Updated Practice Location September 03, 2024

Registered at 800 ROSE ST, LEXINGTON, KY 405360293 (Tel: 8593235956)

NPI Profile Active March 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2019

Registered at 800 ROSE STREET ANESTHESIOLOGY, LEXINGTON, KY 405360293 (Tel: 8592180069)

📍
Updated Business Mailing Address March 19, 2019

Registered at 800 ROSE STREET ANESTHESIOLOGY, LEXINGTON, KY 405360293 (Tel: 8592180069)

👤
Provider Name / Credentials Updated March 19, 2019

Recorded as CALEB KENNON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 19, 2019

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: 1144789918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2019
Last Update: October 10, 2025
Sole Proprietor: No

Mailing Address

1320 W Main St

Newark, OH 430551822

Phone: 2205644201

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.