DR. KEVIN J DONNELLY (MD) – Otolaryngology Physician, NPI 1124020557

DR. KEVIN J DONNELLY (MD) is a healthcare provider. based in Tampa, Florida. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. ME68587 (FL). The NPI Number for DR. KEVIN J DONNELLY (MD) is 1124020557

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN J DONNELLY (MD)
NPI
1124020557
Phone
(813) 872-8794
Address
SUNCOAST ENT SURGICAL SPECIALISTS
Enumeration Date
15 August 2005
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7277911368
Graduation Year
1990 (36 years ago)
PAC ID
4486685468
Group Practice PAC ID
0941260103
Professional Enrollment ID
I20100908000785
Address ID
FL337612013CL3190XRDXX506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. KEVIN J DONNELLY (MD)

  • SUNCOAST ENT SURGICAL SPECIALISTS

    4714 N ARMENIA AVE. STE 200

    TAMPA, FL 336032603

    Phone: (813) 872-8794

    Fax: (813) 879-1652

    Type: Location

  • SELECT PHYSICIANS ALLIANCE

    10002 PRINCESS PALM AVE. STE 332

    TAMPA, FL 336198327

    Phone: (813) 571-7184

    Fax: (813) 654-4695

    Type: Mailing

  • 1330 S FORT HARRISON AVE

    CLEARWATER, FL 337563313

    Phone: (727) 791-1368

    Fax: (727) 216-0704

    Type: Mailing

  • 120 MEDICAL BLVD STE 105

    SPRING HILL, FL 346090221

    Phone: (727) 441-3588

    Fax: (727) 216-0704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $1,280.

Total Amount is formed as General ($1,280) + Research ($0) + Ownership ($0) = $1,280.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($264).

Total Amount

$1,280

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2010-09-08

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
I20100908000785IOtolaryngologyFLTBD

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
95024Test for allergy using allergenic extract injected into skin1,31941$0
95004Test for allergy using allergenic extract1,31241$0
99214Established patient office or other outpatient visit, 30-39 minutes1,236764$0
95165Professional service for preparation and provision of 1 or more antigens1,15022$0
69210Removal of impacted ear wax819572$0
View full utilization report →

Insurance plans in this area (ZIP 33603)

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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: 0941260103View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
-FL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KEVIN J DONNELLY (MD)?
NPI 1124020557 is assigned to DR. KEVIN J DONNELLY (MD) under the national enumeration system.
Is DR. KEVIN J DONNELLY (MD)'s NPI currently valid?
The extract we use shows DR. KEVIN J DONNELLY (MD) as active.
What kind of provider is DR. KEVIN J DONNELLY (MD)?
The page reflects Otolaryngology Physician for DR. KEVIN J DONNELLY (MD). Clinical services aligned with this taxonomy classification.
Where is DR. KEVIN J DONNELLY (MD)'s primary listing?
We display Tampa, Florida because that is what the record indicates for DR. KEVIN J DONNELLY (MD).
How can I contact DR. KEVIN J DONNELLY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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