JEFFREY KANNEN (DO) – Sports Medicine (Family Medicine) Physician, NPI 1447783642
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
341 SPORTS MEDICINE in OH
Loading map...
Provider Addresses for JEFFREY KANNEN (DO)
5901 E FOWLER AVE STE 100
TEMPLE TERRACE, FL 336172305
Phone: (813) 978-9700
Type: Mailing
Summa Health System – Akron Campus, 525, East Market Street, Arlington, Akron, Summit County, Ohio, 44304, United States
AKRON, OH 443041619
Phone: (330) 375-3584
Type: Location
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 336370915
Phone: (813) 978-9700
Fax: (813) 558-6190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $804.
Total Amount is formed as General ($804) + Research ($0) + Ownership ($0) = $804.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amgen Inc. ($436).
Total Amount
$804
General + Research + Ownership
Payments
17
Total payment records
General Amount
$804
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $436 |
| UCB, Inc. | $245 |
| HydroCision, Inc. | $76 |
| Radius Health, Inc. | $27 |
| Acera Surgical, Inc. | $20 |
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: 2021-07-28
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 |
|---|---|---|---|---|
| I20210728001726 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,992 | 180 | $0 |
| J0897 | Injection, denosumab, 1 mg | 1,260 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 251 | 187 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 199 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 186 | 186 | $0 |
Insurance plans in this area (ZIP 33617)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.