KENNETH J MOONEY (M.D.) – Pulmonary Disease Physician, NPI 1396797973
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 PULMONARY DISEASE in NV
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Provider Addresses for KENNETH J MOONEY (M.D.)
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (024) 064-7866
Fax: (916) 636-4358
Type: Mailing
South Eastern Avenue, Henderson, Clark County, Nevada, 89193, United States
HENDERSON, NV 890523908
Phone: (702) 616-5915
Fax: (702) 616-5905
Type: Location
2657, Smooth Blend Place, Southern Hills, Green Valley Ranch, Henderson, Clark County, Nevada, 89052, United States
HENDERSON, NV 890524829
Phone: (702) 837-1776
Fax: (702) 616-5905
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Boston Scientific Corporation ($150).
Total Amount
$272
General + Research + Ownership
Payments
2
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $150 |
| Inari Medical, Inc. | $122 |
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: 2007-08-28
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20070828000793 | I | Pulmonary Disease | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 806 | 380 | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 434 | 261 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 301 | 272 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 276 | 275 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 276 | 275 | $0 |
Insurance plans in this area (ZIP 85067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NV | |
| Internal Medicine | NV | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| Nurse Practitioner | NV | |
| Hospitalist, Internal Medicine | NV | |
| Internal Medicine, Critical Care (Intensivists) | AZ | |
| - | TN | |
| Family Practice | AZ | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV |
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