Alexander Woodward Kennon, M.D.
NPI 1053675868ActiveIndividual· Dermatology, MOHS-Micrographic Surgery· Sebring, FL
Dermatology, MOHS-Micrographic Surgery (M.D.) with Lakeside Dermatology LLC, practicing in Sebring, Florida. 943 Medicare patients in 2024, $994,472 paid; nearly all of their 887 Part D prescriptions were generic (97%). Lists Adventhealth Sebring and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053675868 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 26, 2012 |
| Last updated in NPPES | Oct 19, 2020 |
| Certified by provider | Oct 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | ME136268 | FL |
| Dermatology | 207N00000X | ME136268 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Other (Physician) (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 943 |
|---|---|
| Services billed | 5,530 across 106 procedure codes |
| Paid by Medicare | $994,472 |
Part D prescriptions in 2024
| Prescriptions (claims) | 887 · 1,014 30-day fills |
|---|---|
| Patients | 477 |
| Total drug cost | $380,136 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Undefined Physician Type (Specify) |
| Secondary specialties | Dermatology |
Medical group
- Lakeside Dermatology LLCWinter Haven, FL · 5 clinicians
Hospital affiliations
- Adventhealth SebringSebring, FL
- Winter Haven HospitalWinter Haven, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records