KENNETH DEVAULT (MD) – Gastroenterology Physician, NPI 1386633253
Gastroenterology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
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Provider Addresses for KENNETH DEVAULT (MD)
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
Type: Mailing
PO BOX 749112
ATLANTA, GA 303749112
Phone: (434) 295-1000
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 229081865
Phone: (434) 243-3090
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 $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($61).
Total Amount
$61
General + Research + Ownership
Payments
1
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Laborie Medical Technologies Corp. | $61 |
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: 2025-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100330001203 | I | Gastroenterology | FL | TBD |
| I20121121000179 | I | Gastroenterology | MN | TBD |
| I20250811000442 | I | Gastroenterology | VA | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 97 | 97 | $0 |
| 91299 | Other diagnostic procedure for gastrointestine | 92 | 91 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 61 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 49 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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