MRS. MARYANN KENNESON (M.D.) – Urology Physician, NPI 1790011062
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
Loading map...
Provider Addresses for MRS. MARYANN KENNESON (M.D.)
San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States
JACKSONVILLE, FL 322236612
Phone: (904) 260-3022
Fax: (904) 260-3947
Type: Mailing
Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
ORANGE PARK, FL 320734410
Phone: (904) 644-8353
Fax: (904) 644-8289
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,851.
Total Amount is formed as General ($1,851) + Research ($0) + Ownership ($0) = $1,851.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($438).
Total Amount
$1,851
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,851
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $438 |
| Astellas Pharma US Inc | $240 |
| Endo Pharmaceuticals Inc. | $196 |
| PROCEPT BioRobotics Corporation | $180 |
| PFIZER INC. | $155 |
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: 2012-10-05
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 |
|---|---|---|---|---|
| I20121005000313 | I | Urology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 378 | 286 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 307 | 224 | $0 |
| 81003 | Automated urinalysis test | 261 | 213 | $0 |
| 51701 | Insertion of temporary bladder tube | 96 | 66 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 96 | 92 | $0 |
Insurance plans in this area (ZIP 32223)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | FL | 55700 | Biopsy of prostate gland | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Family 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.