KEVIN X MCKENNAN (MD) – Otology & Neurotology Physician, NPI 1356344022

KEVIN X MCKENNAN (MD) is a healthcare provider. based in Sacramento, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. G40176 (CA). The NPI Number for KEVIN X MCKENNAN (MD) is 1356344022

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN X MCKENNAN (MD)
NPI
1356344022
Phone
(916) 736-3408
Address
1111 EXPOSITION BLVD BLDG 700
Enumeration Date
24 May 2005
Last Update Date
4 October 2018

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
9167363399
Graduation Year
1978 (48 years ago)
PAC ID
2365511409
Group Practice PAC ID
6204905342
Professional Enrollment ID
I20081223000221
Address ID
CA958154314SA1111XBLVD307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,365 OTOLARYNGOLOGY in CA

Provider Addresses for KEVIN X MCKENNAN (MD)

  • 1111 EXPOSITION BLVD BLDG 700

    SACRAMENTO, CA 958154314

    Phone: (916) 736-3408

    Fax: (916) 233-4171

    Type: Location

  • Exposition Boulevard, Sacramento, Sacramento County, California, 95825, United States of America

    BLDG 700

    SACRAMENTO, CA 958154300

    Phone: (916) 736-3399

    Fax: (916) 233-4171

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($200).

Total Amount

$437

General + Research + Ownership

Payments

4

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-12-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081223000221IOtolaryngologyCATBD

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
92504Exam of ear using a microscope384281$0
92557Comprehensive hearing and speech recognition test230205$0
92567Test to assess middle ear function168157$0
99213Established patient office or other outpatient visit, 20-29 minutes10892$0
70480Ct scan of cranial cavity without contrast9185$0
View full utilization report →

Insurance plans in this area (ZIP 95815)

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Provider's Procedures

KEVIN X MCKENNAN (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYCA14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1817
OTOLARYNGOLOGYCA92567Eardrum testing using ear probe148141

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204905342View full group profile
NameSpecialtyState
-CA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
O T O L A R Y N G O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
O T O L A R Y N G O L O G YCA
O T O L A R Y N G O L O G YCA
Qualified AudiologistTN
Qualified AudiologistCA

Reviews

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Frequently asked questions

How is KEVIN X MCKENNAN (MD) identified in CMS data?
CMS-hosted NPPES data lists KEVIN X MCKENNAN (MD) with NPI 1356344022.
Is KEVIN X MCKENNAN (MD) still practicing?
KEVIN X MCKENNAN (MD) is currently listed as active in the public NPI registry.
What is KEVIN X MCKENNAN (MD)'s specialty?
The listing groups KEVIN X MCKENNAN (MD) with Otology & Neurotology Physician. Clinical services aligned with this taxonomy classification.
What area does KEVIN X MCKENNAN (MD) serve?
KEVIN X MCKENNAN (MD)'s listing highlights Sacramento, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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