KENNETH MICHAEL GORNEY (MSW) – Physician Assistant, NPI 1255380796
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KENNETH MICHAEL GORNEY (MSW)
3681 Okemos Rd Ste 500
Okemos, MI 488646923
Phone: (517) 455-7600
Type: Location
Maryland Way, Williamsburg Estates, Brentwood, Williamson County, Tennessee, 37027, United States
SUITE 300
BRENTWOOD, TN 370275064
Phone: (615) 371-5744
Fax: (888) 241-1404
Type: Mailing
205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States
JACKSON, MI 492011753
Phone: (517) 789-5971
Fax: (517) 789-5918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $799.
Total Amount is formed as General ($799) + Research ($0) + Ownership ($0) = $799.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ITI, Inc. ($216).
Total Amount
$799
General + Research + Ownership
Payments
35
Total payment records
General Amount
$799
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $216 |
| IDORSIA PHARMACEUTICALS US INC | $117 |
| Alkermes, Inc. | $110 |
| Indivior Inc. | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | $48 |
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: 2011-10-18
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 |
|---|---|---|---|---|
| I20111018000130 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 451 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 22 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 65 | 27 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 31 | 27 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 24 | 21 | $0 |
Insurance plans in this area (ZIP 48864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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