RICKEY DALE KINZEY (D.O.) – Addiction Medicine (Family Medicine) Physician, NPI 1801881016
Addiction Medicine (Family Medicine) Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 ADDICTION MEDICINE in IN
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Provider Addresses for RICKEY DALE KINZEY (D.O.)
1802, East 10th Street, Jeffersonville, Clark County, Indiana, 47130, United States
JEFFERSONVILLE, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
Market Street, Charlestown, Clark County, Indiana, 47111, United States
CHARLESTOWN, IN 471119535
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Mailing
815 Short St
Charlestown, IN 471111241
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Location
1802 E 10th St
Jeffersonville, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
300 Spring St Ste 3C
Jeffersonville, IN 471303385
Phone: (812) 620-9846
Type: Location
300 Spring St Ste 3B
Jeffersonville, IN 471303498
Phone: (812) 725-0950
Type: Location
400 MANN ST STE 107
CORPUS CHRISTI, TX 784012046
Phone: (361) 533-9911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-03-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050418000744 | I | Family Practice | IN | TBD |
| I20220308002208 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 268 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 218 | 26 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 204 | 27 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 199 | 14 | $0 |
| 96360 | Infusion into a vein for hydration, 31-60 minutes | 195 | 28 | $0 |
Insurance plans in this area (ZIP 47130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | KY | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 12 | 12 |
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