Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Pelletier, PA-C

Individual provider Surgical Physician Assistant · NPI 1265488662

Kenneth Pelletier, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 1998, 28 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
28
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3404 Wake Forest Rd Ste 201
Raleigh, NC 27609-7341 Not confirmed with CMS for 16 years — call before visiting
Phone: (919) 256-1511
Fax: (919) 256-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 102579 (NC)

Record details

NPI number1265488662
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESAugust 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients165
Services billed 1,164 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Duke Health Integrated Practice Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3094 clinicians in the practice; 12 are shown here.

Other providers in Raleigh