TODD ANTHONY KINNICK (DO) – Anesthesiology Physician, NPI 1265452817

TODD ANTHONY KINNICK (DO) is a healthcare provider. based in Fruita, Colorado. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. DR.0044198 (CO). The NPI Number for TODD ANTHONY KINNICK (DO) is 1265452817

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
TODD ANTHONY KINNICK (DO)
NPI
1265452817
Phone
(970) 858-3900
Address
300 W Ottley Ave
Enumeration Date
19 July 2006
Last Update Date
14 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702982273
Graduation Year
2001 (25 years ago)
PAC ID
6709893308
Group Practice PAC ID
8921995754
Professional Enrollment ID
I20060307000315
Address ID
CO815018209GR2635XSTXX400
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

1,166 ANESTHESIOLOGY in CO

Provider Addresses for TODD ANTHONY KINNICK (DO)

  • 300 W Ottley Ave

    Fruita, CO 815212118

    Phone: (970) 858-3900

    Fax: (970) 858-2208

    Type: Location

  • Wellington Avenue, Grand Junction, Mesa County, Colorado, 81504, United States

    GRAND JUNCTION, CO 815016131

    Phone: (970) 243-7245

    Fax: (970) 241-1308

    Type: Mailing

  • 1120, Wellington Avenue, Grand Junction, Mesa County, Colorado, 81501, United States

    SUITE 206

    GRAND JUNCTION, CO 815016129

    Phone: (970) 243-7245

    Fax: (970) 241-1308

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2006-03-07

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
I20060307000315IAnesthesiologyCOTBD

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
36620Insertion of artery tube for blood sampling or infusion through skin4040$0
93312Ultrasound of heart with probe in esophagus, with report1414$0
00537Anesthesia for procedure to assess heart electrical activity1313$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
93503Insertion of tube in pulmonary artery for monitoring1111$0
View full utilization report →

Insurance plans in this area (ZIP 81521)

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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: 8921995754View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCO
Anesthesiology, Pain ManagementCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YWI

Reviews

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Frequently asked questions

What is TODD ANTHONY KINNICK (DO)'s NPI number?
TODD ANTHONY KINNICK (DO)'s NPI is 1265452817 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TODD ANTHONY KINNICK (DO)?
You should see TODD ANTHONY KINNICK (DO) as active in CMS-hosted NPPES data.
What kind of doctor is TODD ANTHONY KINNICK (DO)?
TODD ANTHONY KINNICK (DO) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TODD ANTHONY KINNICK (DO) located near Fruita?
TODD ANTHONY KINNICK (DO) currently maps to Fruita, Colorado in this extract.
Does TODD ANTHONY KINNICK (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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