DR. COLIN D KENNEDY (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1447593504

DR. COLIN D KENNEDY (M.D.) is a healthcare provider. based in Nellis afb, Nevada. specializing in ORTHOPEDIC SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD60567463 (WA). The NPI Number for DR. COLIN D KENNEDY (M.D.) is 1447593504

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLIN D KENNEDY (M.D.)
NPI
1447593504
Phone
(702) 653-2273
Address
4700 LAS VEGAS BLVD N
Enumeration Date
27 March 2013
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
2163746900
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20250703000104
Address ID
WA983351706GI4700XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

252 ORTHOPEDIC SURGERY in NV

Provider Addresses for DR. COLIN D KENNEDY (M.D.)

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2273

    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 4 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bioventus LLC ($40).

Total Amount

$88

General + Research + Ownership

Payments

4

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$40
Endo USA, Inc.$25
AXOGEN$23
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: 2025-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250703000104IOrthopedic SurgeryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89191)

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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: 7719899897View full group profile

Reviews

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Frequently asked questions

Does DR. COLIN D KENNEDY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. COLIN D KENNEDY (M.D.) uses 1447593504.
Does CMS list DR. COLIN D KENNEDY (M.D.) as active?
Yes — DR. COLIN D KENNEDY (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. COLIN D KENNEDY (M.D.)?
For research purposes, treat DR. COLIN D KENNEDY (M.D.) as Orthopaedic Hand Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. COLIN D KENNEDY (M.D.) list a practice location?
Patients near Nellis Afb, Nevada may find DR. COLIN D KENNEDY (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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