DR. MARK E KENNEDY (MD) – Ophthalmology Physician, NPI 1811948599

DR. MARK E KENNEDY (MD) is a healthcare provider. based in Ormond beach, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME0075020 (FL). The NPI Number for DR. MARK E KENNEDY (MD) is 1811948599

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK E KENNEDY (MD)
NPI
1811948599
Phone
(386) 672-4244
Address
345 CLYDE MORRIS BLVD
Enumeration Date
15 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
3866724244
Graduation Year
1996 (30 years ago)
PAC ID
4284682568
Group Practice PAC ID
2163470436
Professional Enrollment ID
I20050104000783
Address ID
FL321743114OR345XXBLVD400
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

1,548 OPHTHALMOLOGY in FL

Loading map...

Provider Addresses for DR. MARK E KENNEDY (MD)

  • 345, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States

    SUITE 330

    ORMOND BEACH, FL 321743111

    Phone: (386) 672-4244

    Fax: (386) 672-0603

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($356).

Total Amount

$927

General + Research + Ownership

Payments

42

Total payment records

General Amount

$927

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-04

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
I20050104000783IOphthalmologyFLTBD

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
92014Established patient complete exam of visual system1,5221,380$0
92134Imaging of retina943845$0
99214Established patient office or other outpatient visit, 30-39 minutes906700$0
92083Exam of visual field with extended testing572544$0
92133Imaging of optic nerve570566$0
View full utilization report →

Insurance plans in this area (ZIP 32174)

Loading plans...

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: 2163470436View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YAA
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
-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.

Frequently asked questions

How is DR. MARK E KENNEDY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MARK E KENNEDY (MD) with NPI 1811948599.
Can I rely on DR. MARK E KENNEDY (MD) being an active provider?
As of the registry snapshot, DR. MARK E KENNEDY (MD) is marked active.
What healthcare role does DR. MARK E KENNEDY (MD) hold?
Scheduling teams often label DR. MARK E KENNEDY (MD) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK E KENNEDY (MD) on a map?
Expect Ormond Beach, Florida as a primary anchor for DR. MARK E KENNEDY (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. RICHARD A JABLONSKI (DO)

Ophthalmology Physician
1425, Hand Avenue, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1760474399
3, Pine Cone Drive, Palm Coast, Flagler County, Florida, 32137, United States
NPI: 1215927702
160, Boston Avenue, Altamonte Springs, Seminole County, Florida, 32701, United States
NPI: 1285609461

TOMOKA EYE ASSOCIATES

Ophthalmology Physician
Palm Coast, Flagler County, Florida, United States
NPI: 1265482970

TOMOKA EYE ASSOCIATES

Ophthalmology Physician
790, Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States
NPI: 1124078787

TOMOKA EYE ASSOCIATES PA

Ophthalmology Physician
345, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1659321214

DR. MICHAEL KEVIN MAKOWSKI (MD)

Ophthalmology Physician
345, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1427009240

DR. ALAN DAVID SPERTUS (MD)

Ophthalmology Physician
345, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1942251616

DR. JOSEPH M FRANCE (MD)

Ophthalmology Physician
345, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1104877877