DR. FREDERICK KENT NUNNALLY (MD) – Specialist, NPI 1689636086
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 OTOLARYNGOLOGY in AL
Provider Addresses for DR. FREDERICK KENT NUNNALLY (MD)
112 Haven Dr
Suite 1
Dothan, AL 363012907
Phone: (334) 793-6673
Fax: (334) 792-0515
Type: Location
4550 W MAIN ST
DOTHAN, AL 363051130
Phone: (334) 793-6673
Fax: (877) 413-4055
Type: Mailing
112, Haven Drive, Fairlane, Dothan, Houston County, Alabama, 36302, United States
SUITE 1
DOTHAN, AL 363012907
Phone: (334) 793-6673
Fax: (877) 413-4055
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $567.
Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: GENZYME CORPORATION ($377).
Total Amount
$567
General + Research + Ownership
Payments
20
Total payment records
General Amount
$567
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110225000619 | I | Otolaryngology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 720 | 14 | $0 |
| 95004 | Test for allergy using allergenic extract | 451 | 11 | $0 |
| 95117 | Professional service for multiple injections of allergen | 302 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 287 | 194 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 159 | 159 | $0 |
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | AL | 92567 | Eardrum testing using ear probe | 161 | 141 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Qualified Audiologist | FL | |
| Nurse Practitioner | AL |
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