KENNETH DAVID KINNAN (PA-C) – Physician Assistant, NPI 1891856159
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for KENNETH DAVID KINNAN (PA-C)
3651 College Blvd
Leawood, KS 662111910
Phone: (913) 319-7600
Fax: (913) 253-1703
Type: Location
600 NE Adams Dairy Pkwy Ste 160
Blue Springs, MO 640145496
Phone: (816) 246-4302
Fax: (816) 246-9493
Type: Location
Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States
LEES SUMMIT, MO 640866011
Phone: (816) 246-4302
Fax: (816) 246-9493
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($71).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $71 |
| Ferring Pharmaceuticals Inc. | $36 |
| Bioventus LLC | $21 |
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: 2010-10-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101004001338 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,480 | 34 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 324 | 74 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 225 | 113 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 182 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 101 | $0 |
Insurance plans in this area (ZIP 66211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Orthopedic Surgery | CA | |
| Physician Assistant | KS | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Sports Medicine, Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | AZ | |
| Sports Medicine, Orthopedic Surgery | MO |
Reviews
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