DAVID KENNEY (PA-C) – Physician Assistant, NPI 1790153864
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for DAVID KENNEY (PA-C)
12786 DUNDEE DR
GRAND LEDGE, MI 488378956
Phone:
Type: Mailing
400 HOBART ST
CADILLAC, MI 496012331
Phone: (231) 876-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,438.
Total Amount is formed as General ($1,438) + Research ($0) + Ownership ($0) = $1,438.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($371).
Total Amount
$1,438
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $371 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $178 |
| Amgen Inc. | $131 |
| Novartis Pharmaceuticals Corporation | $108 |
| ABBVIE INC. | $96 |
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: 2015-11-03
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 |
|---|---|---|---|---|
| I20151103000804 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Plastic And Reconstructive Surgery, Otolaryngology | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
Reviews
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