DR. NICHOLAS IUNG KENNEDY (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1285058545
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
819 ORTHOPEDIC SURGERY in MN
Provider Addresses for DR. NICHOLAS IUNG KENNEDY (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone:
Type: Mailing
PO BOX 5299
MS: 820-5-PCO
TACOMA, WA 984150299
Phone:
Type: Mailing
111 S 11TH AVE
YAKIMA, WA 989023242
Phone: (509) 454-8888
Fax: (509) 453-0061
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $62,458.
Total Amount is formed as General ($62,458) + Research ($0) + Ownership ($0) = $62,458.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Vericel Corporation ($35,307).
Total Amount
$62,458
General + Research + Ownership
Payments
94
Total payment records
General Amount
$62,458
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $35,307 |
| Arthrex, Inc. | $16,146 |
| Smith+Nephew, Inc. | $7,120 |
| ENCORE MEDICAL, LP | $3,299 |
| Ossur Americas, Inc. | $214 |
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: 2023-08-10
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 |
|---|---|---|---|---|
| I20230810004505 | I | Orthopedic Surgery | WA | 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 |
|---|---|---|---|---|
| 73562 | X-ray of knee, 3 views | 133 | 67 | $0 |
| 73590 | X-ray of lower leg, 2 views | 105 | 53 | $0 |
| 73551 | X-ray of thigh bone, 1 view | 103 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 55905)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Internal Medicine | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Emergency Medicine | WA | |
| - | WA | |
| Family Practice | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.