DR. PETER B MCKERNAN (MD, DDS) – Otolaryngology Physician, NPI 1306844105

DR. PETER B MCKERNAN (MD, DDS) is a healthcare provider. based in Tampa, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD, DDS. They hold a License No. M.E. 0056480 (FL). The NPI Number for DR. PETER B MCKERNAN (MD, DDS) is 1306844105

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER B MCKERNAN (MD, DDS)
NPI
1306844105
Phone
(813) 571-7184
Address
SELECT PHYSICIANS ALLIANCE
Enumeration Date
14 July 2005
Last Update Date
3 May 2019

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
8138844967
Graduation Year
1984 (42 years ago)
PAC ID
1254497795
Group Practice PAC ID
0042292849
Professional Enrollment ID
I20111229000782
Address ID
FL336152865TA6101XRDXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. PETER B MCKERNAN (MD, DDS)

  • SELECT PHYSICIANS ALLIANCE

    10002 PRINCESS PALM AVE. STE 332

    TAMPA, FL 336198327

    Phone: (813) 571-7184

    Fax: (813) 654-4695

    Type: Mailing

  • EAR NOST & THROAT ASSOCIATES

    6101 WEBB RD. STE 211

    TAMPA, FL 336152865

    Phone: (813) 884-4967

    Fax: (813) 889-0847

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-12-29

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
I20111229000782IOtolaryngologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes431205$0
99213Established patient office or other outpatient visit, 20-29 minutes304168$0
69210Removal of impacted ear wax275175$0
69200Removal of foreign body in ear canal9784$0
99215Established patient office or other outpatient visit, 40-54 minutes9272$0
View full utilization report →

Insurance plans in this area (ZIP 33619)

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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: 0042292849View 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 AssistantWI
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
Qualified AudiologistFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

Does DR. PETER B MCKERNAN (MD, DDS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PETER B MCKERNAN (MD, DDS) uses 1306844105.
Can I rely on DR. PETER B MCKERNAN (MD, DDS) being an active provider?
As of the registry snapshot, DR. PETER B MCKERNAN (MD, DDS) is marked active.
What is DR. PETER B MCKERNAN (MD, DDS)'s specialty?
The listing groups DR. PETER B MCKERNAN (MD, DDS) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. PETER B MCKERNAN (MD, DDS) serve?
DR. PETER B MCKERNAN (MD, DDS)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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