DR. KEVIN J DONNELLY (MD) – Otolaryngology Physician, NPI 1124020557
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $264 |
| GENZYME CORPORATION | $222 |
| Neurent Medical Limited | $169 |
| AERIN MEDICAL INC. | $154 |
| Inspire Medical Systems, Inc. | $115 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100908000785 | I | Otolaryngology | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95024 | Test for allergy using allergenic extract injected into skin | 1,319 | 41 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,312 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,236 | 764 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,150 | 22 | $0 |
| 69210 | Removal of impacted ear wax | 819 | 572 | $0 |
Insurance plans in this area (ZIP 33603)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| - | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL |
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