DR. SHANNON RENEE KENNEDY (M.D.) – Family Medicine Physician, NPI 1497720197
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for DR. SHANNON RENEE KENNEDY (M.D.)
Family Medical Clinic, 1614, Diamond Street, Onawa, Monona County, Iowa, 51040, United States
ONAWA, IA 510401554
Phone: (712) 423-1525
Fax: (712) 423-2528
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 175 Open Payments records for all available years, with a total value of $2,465.
Total Amount is formed as General ($2,465) + Research ($0) + Ownership ($0) = $2,465.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($557).
Total Amount
$2,465
General + Research + Ownership
Payments
175
Total payment records
General Amount
$2,465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $557 |
| Amgen Inc. | $221 |
| Novo Nordisk Inc | $197 |
| AstraZeneca Pharmaceuticals LP | $180 |
| E.R. Squibb & Sons, L.L.C. | $137 |
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: 2010-08-30
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 |
|---|---|---|---|---|
| I20100830001105 | I | Family Practice | IA | 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 |
|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 95 | 88 | $0 |
| 83036 | Hemoglobin a1c level | 71 | 45 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 35 | $0 |
| 81003 | Automated urinalysis test | 56 | 45 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 33 | $0 |
Insurance plans in this area (ZIP 51040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IA | 85610 | Blood test, clotting time | 105 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | NE | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA |
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