ROBERT JEROME KENDELL (D.O.) – Facial Plastic Surgery Physician, NPI 1366417578

ROBERT JEROME KENDELL (D.O.) is a healthcare provider. based in Cadillac, Michigan. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101012647 (MI). The NPI Number for ROBERT JEROME KENDELL (D.O.) is 1366417578

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JEROME KENDELL (D.O.)
NPI
1366417578
Phone
(231) 779-6260
Address
8872 PROFESSIONAL DR
Enumeration Date
21 February 2006
Last Update Date
24 October 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2317796260
Graduation Year
1995 (31 years ago)
PAC ID
5890975718
Group Practice PAC ID
4981884806
Professional Enrollment ID
I20110214000772
Address ID
MI496018482CA8872XDRXX303
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

428 OTOLARYNGOLOGY in MI

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Provider Addresses for ROBERT JEROME KENDELL (D.O.)

  • Cadillac Dynamic Physical Therapy, 8872, Professional Drive, Clam Lake Township, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496018482

    Phone: (231) 779-6260

    Fax: (231) 779-6264

    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 11 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($84).

Total Amount

$313

General + Research + Ownership

Payments

11

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-02-14

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
I20110214000772IOtolaryngologyMITBD

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 minutes261169$0
92557Comprehensive hearing and speech recognition test242235$0
99203New patient office or other outpatient visit, 30-44 minutes162162$0
92567Test to assess middle ear function151146$0
69210Removal of impacted ear wax11096$0
View full utilization report →

Insurance plans in this area (ZIP 49601)

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Provider's Procedures

ROBERT JEROME KENDELL (D.O.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYMI17003Destruction of 2-14 skin growths5020
OTOLARYNGOLOGYMI92567Eardrum testing using ear probe209179

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: 4981884806View full group profile
NameSpecialtyState
Qualified AudiologistMI
Qualified AudiologistMI

Reviews

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Frequently asked questions

What unique ID ties claims to ROBERT JEROME KENDELL (D.O.)?
NPI 1366417578 is assigned to ROBERT JEROME KENDELL (D.O.) under the national enumeration system.
Does this profile mean ROBERT JEROME KENDELL (D.O.) is currently active?
Yes — ROBERT JEROME KENDELL (D.O.) appears active in the national provider directory.
Can you summarize ROBERT JEROME KENDELL (D.O.)'s specialty in plain language?
Clinically, the directory lists ROBERT JEROME KENDELL (D.O.) with Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is ROBERT JEROME KENDELL (D.O.)'s primary listing?
We display Cadillac, Michigan because that is what the record indicates for ROBERT JEROME KENDELL (D.O.).
What if Cadillac, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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