PAUL R KENNEDY (OD) – Optometrist, NPI 1013063114
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
Provider Addresses for PAUL R KENNEDY (OD)
5857 West Saginaw Highway
Lansing, MI 489172460
Phone: (517) 323-8221
Fax: (517) 323-7976
Type: Location
140, Macomb Daily Drive, Mt. Clemens Wastewater Treatment, Mount Clemens, Macomb County, Michigan, 48043, United States
MT CLEMENS, MI 48043
Phone: (586) 468-7370
Fax: (586) 464-1472
Type: Mailing
5857, West Saginaw Highway, Roxand Township, Eaton County, Michigan, 48890, United States
LANSING, MI 489172460
Phone: (517) 323-8221
Fax: (517) 323-7976
Type: Location
PO BOX 208177
DALLAS, TX 753208177
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
2117 E GRAND RIVER AVE
LANSING, MI 489123231
Phone: (517) 485-2213
Fax: (517) 485-2220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $852.
Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($408).
Total Amount
$852
General + Research + Ownership
Payments
36
Total payment records
General Amount
$852
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
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: 2009-07-22
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 |
|---|---|---|---|---|
| I20090722000626 | I | Optometry | MI | 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 | 70 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 32 | $0 |
| 92250 | Photography of the retina | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48917)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| - | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI |
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