DR. ZACKARY JACOB KENT (M.D.) – Family Medicine Physician, NPI 1407038706
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. ZACKARY JACOB KENT (M.D.)
101 BODIN CIR
TRAVIS AFB, CA 945351809
Phone:
Type: Mailing
101 Bodin Cir
Travis AFB, CA 945351809
Phone: (707) 423-3277
Type: Location
50 Buck Creek Rd Ste 200
Avon, CO 816205428
Phone: (970) 926-6340
Fax: (970) 926-6348
Type: Location
180 S Frontage Rd W Ste 5800
Vail, CO 816575038
Phone: (970) 926-6340
Fax: (970) 926-6348
Type: Location
Beard Creek Road, Edwards, Eagle County, Colorado, 81632, United States
EDWARDS, CO 816326426
Phone: (970) 945-2840
Fax: (970) 945-1055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: PFIZER INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $22 |
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: 2019-07-18
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 |
|---|---|---|---|---|
| I20190718001677 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| Internal Medicine, Pediatric Medicine | CO | |
| Physician Assistant | CO | |
| Clinical Social Worker | CO | |
| - | CO | |
| - | CO | |
| - | TN |
Reviews
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