DR. JERRY D KENNETT (M.D.) – Cardiovascular Disease Physician, NPI 1851383145
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO
Provider Addresses for DR. JERRY D KENNETT (M.D.)
1605, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States
SUITE 300
COLUMBIA, MO 652018023
Phone: (573) 256-7700
Fax: (573) 256-3071
Type: Mailing
1605 E BROADWAY STE 300
COLUMBIA, MO 652018023
Phone: (573) 256-7700
Fax: (573) 256-3003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $668.
Total Amount is formed as General ($668) + Research ($0) + Ownership ($0) = $668.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($97).
Total Amount
$668
General + Research + Ownership
Payments
34
Total payment records
General Amount
$668
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
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: 2005-12-20
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 |
|---|---|---|---|---|
| I20051220000793 | I | Cardiovascular Disease (Cardiology) | MO | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,737 | 1,294 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,733 | 940 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 342 | 104 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 337 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 284 | 247 | $0 |
Insurance plans in this area (ZIP 65201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 130 | 115 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 28 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WI | |
| - | MO | |
| Cardiovascular Disease (Cardiology) | MO |
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