DR. GARDNER THOMAS KENNY (M.D.) – Anesthesiology Physician, NPI 1851383947

DR. GARDNER THOMAS KENNY (M.D.) is a healthcare provider. based in Carbondale, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036086011 (IL). The NPI Number for DR. GARDNER THOMAS KENNY (M.D.) is 1851383947

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARDNER THOMAS KENNY (M.D.)
NPI
1851383947
Phone
(618) 457-5111
Address
35 ALBANY RD
Enumeration Date
16 August 2005
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189422171
Graduation Year
1988 (38 years ago)
PAC ID
0648263871
Group Practice PAC ID
4688893878
Professional Enrollment ID
I20040810000382
Address ID
IL629483631HE201XXSTXX400

Contacts

Secure Messaging
gkenny14127@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. GARDNER THOMAS KENNY (M.D.)

  • 35 ALBANY RD

    SUITE C

    CARBONDALE, IL 629037605

    Phone: (618) 457-5111

    Fax: (618) 457-6560

    Type: Mailing

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • Memorial Hospital of Carbondale, 405, West Jackson Street, Carbondale, Jackson County, Illinois, 62902, United States

    CARBONDALE, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 529-0449

    Type: Location

  • 2601 W Main St

    Carbondale, IL 629011031

    Phone: (618) 351-7300

    Fax: (618) 457-7890

    Type: Location

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0529

    Type: Location

  • 510 Lincoln Dr

    Herrin, IL 629486334

    Phone: (618) 997-6800

    Fax: (618) 993-8188

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($71).

Total Amount

$71

General + Research + Ownership

Payments

4

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$71
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: 2004-08-10

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
I20040810000382IAnesthesiologyILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62903)

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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: 4688893878View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementWI
Certified Registered Nurse Anesthetist (Crna)MI
-IL
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
-IL
Anesthesiology, Interventional Pain Management, Pain ManagementIL

Reviews

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Frequently asked questions

What NPI should I save for DR. GARDNER THOMAS KENNY (M.D.)?
Save NPI 1851383947 if you need a stable reference for DR. GARDNER THOMAS KENNY (M.D.).
Is DR. GARDNER THOMAS KENNY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. GARDNER THOMAS KENNY (M.D.) as an active registrant.
What kind of provider is DR. GARDNER THOMAS KENNY (M.D.)?
The page reflects Anesthesiology Physician for DR. GARDNER THOMAS KENNY (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. GARDNER THOMAS KENNY (M.D.)'s primary listing?
We display Carbondale, Illinois because that is what the record indicates for DR. GARDNER THOMAS KENNY (M.D.).
What if Carbondale, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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