THOMAS LYNN JR. KENNEDY (MD) – Surgery Physician, NPI 1396273173
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in AR
Provider Addresses for THOMAS LYNN JR. KENNEDY (MD)
620 W GROVE ST STE 201
EL DORADO, AR 717304425
Phone: (870) 875-5580
Fax: (870) 875-5584
Type: Mailing
403 W OAK ST STE 204
EL DORADO, AR 717304574
Phone: (870) 881-9311
Fax: (870) 881-8588
Type: Location
Alcoa Highway, Fort Sanders, Knoxville, Knox County, Tennessee, 37920, United States
KNOXVILLE, TN 379201511
Phone: (865) 305-9230
Fax: (865) 305-6958
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $4,553.
Total Amount is formed as General ($4,553) + Research ($0) + Ownership ($0) = $4,553.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,536).
Total Amount
$4,553
General + Research + Ownership
Payments
12
Total payment records
General Amount
$4,553
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,536 |
| MIMEDX Group, Inc. | $17 |
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: 2022-07-29
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 |
|---|---|---|---|---|
| I20220729000032 | I | General Surgery | AR | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 39 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | 39 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 36 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 71730)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Thoracic Surgery, Vascular Surgery | AR |
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