DR. KENNETH PAUL III FLANIGAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1780659722

DR. KENNETH PAUL III FLANIGAN (D.P.M.) is a healthcare provider. based in Portland, Maine. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. POD1033 (ME). The NPI Number for DR. KENNETH PAUL III FLANIGAN (D.P.M.) is 1780659722

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH PAUL III FLANIGAN (D.P.M.)
NPI
1780659722
Phone
(207) 879-1339
Address
68 MARGINAL WAY
Enumeration Date
22 February 2006
Last Update Date
5 September 2012

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2077833450
Graduation Year
1996 (30 years ago)
PAC ID
8325015423
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20050907000443
Address ID
ME042106316AU730XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

69 PODIATRY in ME

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Provider Addresses for DR. KENNETH PAUL III FLANIGAN (D.P.M.)

  • AAA Insurance, 68, Marginal Way, Downtown, Portland, Cumberland County, Maine, 04101, United States

    4TH FLOOR

    PORTLAND, ME 041012444

    Phone: (207) 879-1339

    Fax: (207) 879-1092

    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)

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: 2005-09-07

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
I20050907000443IPodiatryMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14184$0
73630X-ray of foot, minimum of 3 views13998$0
99203New patient office or other outpatient visit, 30-44 minutes107107$0
73620X-ray of foot, 2 views5030$0
73610X-ray of ankle, minimum of 3 views1916$0
View full utilization report →

Insurance plans in this area (ZIP 04101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537076401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physician AssistantNC
Internal MedicineSC
Orthopedic SurgeryMO
-CA
Physical Therapist In Private PracticeMD
Physician AssistantNC
Internal MedicineTN
Nurse PractitionerAR
-CO

Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH PAUL III FLANIGAN (D.P.M.) in U.S. healthcare records?
The official identifier for DR. KENNETH PAUL III FLANIGAN (D.P.M.) is NPI 1780659722.
Active or inactive — what applies to DR. KENNETH PAUL III FLANIGAN (D.P.M.)?
You should see DR. KENNETH PAUL III FLANIGAN (D.P.M.) as active in CMS-hosted NPPES data.
How would a patient describe DR. KENNETH PAUL III FLANIGAN (D.P.M.)'s focus?
For DR. KENNETH PAUL III FLANIGAN (D.P.M.), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KENNETH PAUL III FLANIGAN (D.P.M.)?
Directory geography for DR. KENNETH PAUL III FLANIGAN (D.P.M.) centers on Portland, Maine.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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