DR. JESSE JENNINGS KINCAID (M.D.) – Neuroradiology Physician, NPI 1093835829

DR. JESSE JENNINGS KINCAID (M.D.) is a healthcare provider. based in Soldotna, Alaska. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00049249 (WA). The NPI Number for DR. JESSE JENNINGS KINCAID (M.D.) is 1093835829

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE JENNINGS KINCAID (M.D.)
NPI
1093835829
Phone
(907) 714-4580
Address
250 HOSPITAL PL
Enumeration Date
29 March 2007
Last Update Date
4 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3603852200
Graduation Year
2002 (24 years ago)
PAC ID
6103997333
Group Practice PAC ID
4789593708
Professional Enrollment ID
I20080616000790
Address ID
WA983682443PO834XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

90 DIAGNOSTIC RADIOLOGY in AK

Provider Addresses for DR. JESSE JENNINGS KINCAID (M.D.)

  • 250 HOSPITAL PL

    SOLDOTNA, AK 996697559

    Phone: (907) 714-4580

    Fax: (907) 714-4995

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080616000790IDiagnostic RadiologyWATBD
I20081010000175IDiagnostic RadiologyAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml1,85011$0
71045X-ray of chest, 1 view1,110931$0
70450Ct scan head or brain without contrast733685$0
72100X-ray of lower and sacral spine, 2-3 views611471$0
77080Dxa bone density measurement of hip, pelvis, spine563562$0
View full utilization report →

Insurance plans in this area (ZIP 99669)

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Provider's Procedures

DR. JESSE JENNINGS KINCAID (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAK93922Ultrasound study of arteries of both arms and legs3231
DIAGNOSTIC RADIOLOGYAK93926Ultrasound study of arteries and arterial grafts of one leg or limited1918
DIAGNOSTIC RADIOLOGYAK93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers154142

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789593708View full group profile
NameSpecialtyState
-AK
-WA
H O S P I T A L I S TAK
Physician AssistantWA
Nurse PractitionerOR
Diagnostic Radiology, Interventional Radiology, Nuclear Medicine, Pediatric MedicineIL
Nurse PractitionerOR
General SurgeryWA
Family PracticeWA
Nurse PractitionerWA

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Frequently asked questions

What is the registry number for DR. JESSE JENNINGS KINCAID (M.D.)?
The registry entry for DR. JESSE JENNINGS KINCAID (M.D.) shows NPI 1093835829.
Should I treat DR. JESSE JENNINGS KINCAID (M.D.) as an active provider?
Patients and plans typically see DR. JESSE JENNINGS KINCAID (M.D.) as active in the national extract.
How should patients interpret DR. JESSE JENNINGS KINCAID (M.D.)'s specialty?
The extract shows Neuroradiology Physician for DR. JESSE JENNINGS KINCAID (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. JESSE JENNINGS KINCAID (M.D.)?
The directory associates DR. JESSE JENNINGS KINCAID (M.D.) with Soldotna, Alaska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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