JOHN P KEARNEY (M.D.) – Surgery Physician, NPI 1144254764

JOHN P KEARNEY (M.D.) is a healthcare provider. based in San bernardino, California. specializing in GENERAL SURGERY, COLORECTAL SURGERY (PROCTOLOGY), PERIPHERAL VASCULAR DISEASE, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. G26058 (CA). The NPI Number for JOHN P KEARNEY (M.D.) is 1144254764

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P KEARNEY (M.D.)
NPI
1144254764
Phone
(909) 883-6811
Address
355 E 21ST ST STE C
Enumeration Date
10 July 2006
Last Update Date
4 December 2018

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9098836811
Graduation Year
1972 (54 years ago)
PAC ID
5890788491
Professional Enrollment ID
I20040407001646
Address ID
CA924083593SA374XXWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for JOHN P KEARNEY (M.D.)

  • 355 E 21ST ST STE C

    SAN BERNARDINO, CA 924044851

    Phone: (909) 883-6811

    Fax: (909) 883-2494

    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)

CMS reports 19 Open Payments records for all available years, with a total value of $402.

Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Integra LifeSciences Corporation ($211).

Total Amount

$402

General + Research + Ownership

Payments

19

Total payment records

General Amount

$402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040407001646IGeneral SurgeryCATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13375$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4840$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3529$0
99215Established patient office or other outpatient visit, 40-54 minutes2218$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 92404)

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Reviews

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Frequently asked questions

Can I cross-check JOHN P KEARNEY (M.D.) using NPI 1144254764?
NPI 1144254764 belongs to JOHN P KEARNEY (M.D.); compare other details if you need extra assurance.
Is JOHN P KEARNEY (M.D.) still an active registrant?
JOHN P KEARNEY (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is JOHN P KEARNEY (M.D.)?
JOHN P KEARNEY (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN P KEARNEY (M.D.)?
Travel planning: use San Bernardino, California as the reference point for JOHN P KEARNEY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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