DR. DAMON MARK KENNEDY (DO) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1992733224
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 CARDIAC SURGERY in AR
Provider Addresses for DR. DAMON MARK KENNEDY (DO)
4802 E JOHNSON AVE
JONESBORO, AR 724058413
Phone: (870) 936-8000
Fax: (870) 934-3628
Type: Location
Medical Center of the Rockies, 2500, Rocky Mountain Avenue, Loveland, Larimer County, Colorado, 80538, United States
STE 100
LOVELAND, CO 805389004
Phone: (970) 624-1800
Fax: (970) 624-1891
Type: Location
PO BOX 1960
JONESBORO, AR 724031960
Phone: (870) 936-8000
Fax: (870) 934-3628
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 $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-08-09 • Largest payer in this snapshot: AngioDynamics, Inc. ($16).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $16 |
| Ethicon US, LLC | $16 |
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: 2025-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20121023000736 | I | Thoracic Surgery | CO | TBD |
| I20160916001377 | I | Thoracic Surgery | WY | TBD |
| I20250127000203 | I | Thoracic 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 19 | 19 | $0 |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 18 | 18 | $0 |
| 33508 | Harvest of vein using an endoscope | 18 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 72405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AR | |
| Internal Medicine | AR | |
| - | CA | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | TN | |
| - | AR | |
| Nurse Practitioner | TN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | TN | |
| Nurse Practitioner | AR |
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