KENDALL E. HANSEN (M.D.) – Interventional Pain Medicine Physician, NPI 1417952722

KENDALL E. HANSEN (M.D.) is a healthcare provider. based in Crestview hills, Kentucky. specializing in PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 25777 (KY). The NPI Number for KENDALL E. HANSEN (M.D.) is 1417952722

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL E. HANSEN (M.D.)
NPI
1417952722
Phone
(859) 957-0700
Address
340 THOMAS MORE PKWY
Enumeration Date
15 June 2005
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
859957070090
Graduation Year
1984 (42 years ago)
PAC ID
6103822291
Professional Enrollment ID
I20250114003124
Address ID
KY410173414CR340XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

138 PAIN MANAGEMENT in KY

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Provider Addresses for KENDALL E. HANSEN (M.D.)

  • 340, Thomas More Parkway, Crestview Hills, Kenton County, Kentucky, 41017, United States

    STE 260

    CRESTVIEW HILLS, KY 410175117

    Phone: (859) 957-0700

    Fax: (859) 957-0703

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Medtronic, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$18
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: 2025-01-14

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
I20250114003124IPain ManagementKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41017)

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Provider's Procedures

KENDALL E. HANSEN (M.D.) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYKY62311Injections of substances into lower or sacral spine12579
ANESTHESIOLOGYKY64493Injections of lower or sacral spine facet joint using imaging guidance197128

Reviews

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Frequently asked questions

What unique ID ties claims to KENDALL E. HANSEN (M.D.)?
NPI 1417952722 is assigned to KENDALL E. HANSEN (M.D.) under the national enumeration system.
Is KENDALL E. HANSEN (M.D.) active in the national directory?
KENDALL E. HANSEN (M.D.)'s public NPI profile is in an active state.
Does KENDALL E. HANSEN (M.D.) list a primary specialty?
If you are matching referrals, note Interventional Pain Medicine Physician for KENDALL E. HANSEN (M.D.). Clinical services aligned with this taxonomy classification.
Where is KENDALL E. HANSEN (M.D.)'s primary listing?
We display Crestview Hills, Kentucky because that is what the record indicates for KENDALL E. HANSEN (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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