DR. ROBERT DOUGLAS OLCOTT KENNEDY (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1457485948
Clinical Cardiac Electrophysiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 CARDIAC ELECTROPHYSIOLOGY in MI
Provider Addresses for DR. ROBERT DOUGLAS OLCOTT KENNEDY (M.D.)
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 935-5800
Fax: (231) 935-5799
Type: Location
2891 MOMENTUM PLACE
CHICAGO, IL 606895328
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 496842369
Phone: (231) 935-5800
Fax: (231) 935-5799
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,591.
Total Amount is formed as General ($1,591) + Research ($0) + Ownership ($0) = $1,591.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($1,378).
Total Amount
$1,591
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
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: 2012-08-22
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 |
|---|---|---|---|---|
| I20120822000314 | I | Cardiac Electrophysiology | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 650 | 453 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 474 | 268 | $0 |
| 93280 | Programming of dual lead pacemaker system | 191 | 164 | $0 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 190 | 115 | $0 |
| 93297 | Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 187 | 114 | $0 |
Insurance plans in this area (ZIP 49770)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 322 | 237 |
| CARDIAC ELECTROPHYSIOLOGY | MI | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 36 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Nurse Practitioner | MI |
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