KENNETH MANCHON (MD) – Internal Medicine Physician, NPI 1073569398

KENNETH MANCHON (MD) is a healthcare provider. based in Atlantis, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME76072 (FL). The NPI Number for KENNETH MANCHON (MD) is 1073569398

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH MANCHON (MD)
NPI
1073569398
Phone
(561) 295-6962
Address
107 JFK DR
Enumeration Date
26 May 2006
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5612956962
Graduation Year
1995 (31 years ago)
PAC ID
2062549405
Group Practice PAC ID
0244143758
Professional Enrollment ID
I20100416000376
Address ID
FL334621153AT107XXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for KENNETH MANCHON (MD)

  • 107 JFK DR

    STE B

    ATLANTIS, FL 334621153

    Phone: (561) 295-6962

    Fax: (561) 249-2512

    Type: Mailing

  • 10115 Forest Hill Blvd Ste 200

    Wellington, FL 334143104

    Phone: (561) 581-8496

    Fax: (561) 581-8497

    Type: Location

  • 7593 W BOYNTON BEACH BLVD STE 220

    BOYNTON BEACH, FL 334376162

    Phone: (561) 649-7000

    Type: Mailing

  • 130 JFK DR STE 130

    ATLANTIS, FL 334621141

    Phone: (561) 581-8496

    Fax: (561) 581-8497

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $404.

Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ABBVIE INC. ($163).

Total Amount

$404

General + Research + Ownership

Payments

21

Total payment records

General Amount

$404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2010-04-16

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
I20100416000376IInternal MedicineFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,566796$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit613613$0
G0444Annual depression screening, 5 to 15 minutes586586$0
99214Established patient office or other outpatient visit, 30-39 minutes578355$0
99496Transitional care management services for problem of high complexity6052$0
View full utilization report →

Insurance plans in this area (ZIP 33462)

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Provider's Procedures

KENNETH MANCHON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL83036Hemoglobin A1C level2727

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: 0244143758View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Family PracticeFL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
-FL
G A S T R O E N T E R O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Family PracticeAR

Reviews

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Frequently asked questions

How is KENNETH MANCHON (MD) identified in CMS data?
CMS-hosted NPPES data lists KENNETH MANCHON (MD) with NPI 1073569398.
Can I rely on KENNETH MANCHON (MD) being an active provider?
As of the registry snapshot, KENNETH MANCHON (MD) is marked active.
What is KENNETH MANCHON (MD) best known for clinically?
Directory data describes KENNETH MANCHON (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH MANCHON (MD) on a map?
Expect Atlantis, Florida as a primary anchor for KENNETH MANCHON (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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