KENNETH D CALHOUN (MD) – Family Medicine Physician, NPI 1225093222
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for KENNETH D CALHOUN (MD)
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
9342, Cedar Center Way, Louisville, Jefferson County, Kentucky, 40291, United States
LOUISVILLE, KY 402914522
Phone: (502) 239-3228
Fax: (502) 231-2517
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,159.
Total Amount is formed as General ($1,159) + Research ($0) + Ownership ($0) = $1,159.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($367).
Total Amount
$1,159
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $367 |
| Phathom Pharmaceuticals, Inc. | $234 |
| PFIZER INC. | $151 |
| IDORSIA PHARMACEUTICALS US INC | $120 |
| ABBVIE INC. | $116 |
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: 2004-12-20
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 |
|---|---|---|---|---|
| I20041220000113 | I | Family Practice | KY | 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 | 419 | 247 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 251 | 163 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 127 | 67 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 114 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 87 | $0 |
Insurance plans in this area (ZIP 60677)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 11042 | Removal of skin and tissue first 20 sq cm or less | 83 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | KY | |
| - | IL | |
| Internal Medicine | KY | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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