THOMAS A KENIGSBERG (M.D.) – Family Medicine Physician, NPI 1467412650
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
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Provider Addresses for THOMAS A KENIGSBERG (M.D.)
1010, North Country Club Drive, Mesa, Maricopa County, Arizona, 85201, United States
MESA, AZ 852013309
Phone: (480) 461-2409
Type: Mailing
Johnstown Family Medical, 222, Johnstown Center Drive, Johnstown Farms, Johnstown, Weld County, Colorado, 80534, United States
JOHNSTOWN, CO 805349030
Phone: (970) 587-4974
Fax: (970) 587-5466
Type: Location
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: 2005-03-12
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 |
|---|---|---|---|---|
| I20050312000031 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 45 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 71 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | 17 | $0 |
Insurance plans in this area (ZIP 85201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WY | |
| - | OK | |
| - | CO | |
| - | OH | |
| Cardiac Surgery, Thoracic Surgery, Vascular Surgery | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | TX | |
| - | CO |
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