SHAUN F JENNINGS (D.O.) – Internal Medicine Physician, NPI 1194766253
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
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Provider Addresses for SHAUN F JENNINGS (D.O.)
2300 CHAMBER CENTER DR
SUITE 200
LAKESIDE PARK, KY 410171686
Phone: (859) 384-2660
Fax: (859) 384-5248
Type: Mailing
42, Via di Valle Acerreta, Rio di Corniola, Marradi, Metropolitan City of Florence, Tuscany, 50034, Italy
FLORENCE, KY 410429625
Phone: (859) 384-2660
Fax: (859) 384-5248
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 254 Open Payments records for all available years, with a total value of $4,289.
Total Amount is formed as General ($4,289) + Research ($0) + Ownership ($0) = $4,289.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($748).
Total Amount
$4,289
General + Research + Ownership
Payments
254
Total payment records
General Amount
$4,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $748 |
| Novo Nordisk Inc | $499 |
| Lilly USA, LLC | $449 |
| Astellas Pharma US Inc | $170 |
| Otsuka America Pharmaceutical, Inc. | $167 |
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: 2005-05-25
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 |
|---|---|---|---|---|
| I20050525000349 | I | Internal Medicine | 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 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 130 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 170 | 170 | $0 |
| G0008 | Administration of influenza virus vaccine | 59 | 59 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 53 | 53 | $0 |
Insurance plans in this area (ZIP 41017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KY | 90670 | Pneumococcal vaccine for injection into muscle | 42 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Family Practice | OH | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| Family Practice | OH | |
| - | FL | |
| Nurse Practitioner | KY |
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