MICHELLE MCKENNEY – Obesity Medicine (Preventive Medicine) Physician, NPI 1518176320
Obesity Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,900 FAMILY PRACTICE in MA
Provider Addresses for MICHELLE MCKENNEY
200 MILL RD STE 180
FAIRHAVEN, MA 027195255
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
100 ROSEBROOK WAY
WAREHAM, MA 025711138
Phone: (508) 273-4901
Fax: (508) 973-4907
Type: Location
531, Faunce Corner Road, Faunce Corner, Dartmouth, Bristol County, Massachusetts, 02747, United States
DARTMOUTH, MA 027471242
Phone: (508) 996-3991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Dynavax Technologies Corporation ($14).
Total Amount
$26
General + Research + Ownership
Payments
2
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dynavax Technologies Corporation | $14 |
| Novo Nordisk Inc | $13 |
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: 2013-04-04
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 |
|---|---|---|---|---|
| I20130404000338 | I | Family Practice | MA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 253 | 166 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 158 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 167 | 125 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 161 | 126 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 158 | 128 | $0 |
Insurance plans in this area (ZIP 02719)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Pain Management, Anesthesiology | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Clinical Social Worker | MA | |
| Hospitalist, Internal Medicine | MA | |
| Physician Assistant | MA | |
| H O S P I T A L I S T | MA | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Clinical Social Worker | MA | |
| A N E S T H E S I O L O G Y | MA |
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