Deactivated NPI 1194769125 Deactivated / Inactive NPI Male Practitioner

Kenneth D Lee , PA

Physician Assistant • San Antonio, TX

⚠️

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 Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2006

NPI Deactivation Date February 05, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Kenneth Lee, PA was a registered Physician Assistant practicing in San Antonio, TX. Throughout an active medical career spanning 20 years, Kenneth Lee provided care at the practice location at 408 NAVARRO ST until profile deactivation on 2026-02-05.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, automated urinalysis test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

408 Navarro St

San Antonio, TX 782052502

Telephone 2102721741

Fax 2102721747

Associated Practice Facility / Clinic

🏢 Riverwalk Clinic, Llc Facility NPI 1629191176

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Antonio, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.2 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

888 Specialists

Practicing in San Antonio, TX (11140 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$305.62	$87.92
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$260.00	$61.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$311.00	$90.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$311.33	$88.59
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$260.00	$60.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$307.92	$89.49
81003 Automated urinalysis test	23	23	$15.00	$2.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	17	$30.00	$13.65
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	11	11	$10.00	$6.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	185	21	$5.81	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$297.14	$87.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	85	$243.00	$88.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	48	$37.08	$16.56
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$260.00	$58.85
81003 Automated urinalysis test	24	24	$15.88	$2.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$313.00	$136.12
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	16	16	$10.06	$6.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	170	17	$5.35	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	103	$190.52	$85.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$307.46	$128.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	24	$47.00	$19.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$206.00	$86.37
81003 Automated urinalysis test	20	20	$22.00	$3.02

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03697

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Armando Quinones , MD

General Practice

NPI 1053306779

Doctor of Medicine (M.D.)

Dr. George Ingram , MD

Family Medicine

NPI 1376544999

Doctor of Medicine (M.D.)

Blaine Carmichael , PA-C

Physician Assistant

NPI 1386633121

Physician Assistant (Certified)

Jefferson Rodieck , PA-C

Physician Assistant

NPI 1518169903

Physician Assistant (Certified)

Dr. Scott Mcneill , MD

Family Medicine

NPI 1609064310

Doctor of Medicine (M.D.)

Dr. Concepcion Martinez , MD

Obstetrics & Gynecology

NPI 1710973946

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

✅

NPI Profile Active February 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2012

Registered at 408 NAVARRO ST, SAN ANTONIO, TX 782052502 (Tel: 2102721741)

📍

Updated Business Mailing Address February 06, 2012

Registered at 1045 CENTRAL PKWY N, SUITE 200, SAN ANTONIO, TX 782325024 (Tel: 2105414500)

👤

Provider Name / Credentials Updated February 06, 2012

Recorded as KENNETH LEE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2012

Physician Assistant (License #PA03697 in TX)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kenneth Lee. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194769125

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2006

Last Update: February 06, 2012

Deactivation Date: February 05, 2026

Update or Correct Profile

Mailing Address

1045 Central Pkwy N, Suite 200

San Antonio, TX 782325024

Phone: 2105414500

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.