DR. THOMAS J MCKENNA (M.D.) – Gastroenterology Physician, NPI 1063724490

DR. THOMAS J MCKENNA (M.D.) is a healthcare provider. based in Bryn mawr, Pennsylvania. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. MD438041 (PA). The NPI Number for DR. THOMAS J MCKENNA (M.D.) is 1063724490

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS J MCKENNA (M.D.)
NPI
1063724490
Phone
(610) 525-9570
Address
825 OLD LANCASTER RD
Enumeration Date
14 July 2010
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6105273800
Graduation Year
2004 (22 years ago)
PAC ID
9830381102
Group Practice PAC ID
4183610934
Professional Enrollment ID
I20101005000408
Address ID
PA190103235BR825XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,185 GASTROENTEROLOGY in PA

Provider Addresses for DR. THOMAS J MCKENNA (M.D.)

  • 825 OLD LANCASTER RD

    SUITE 320

    BRYN MAWR, PA 190103231

    Phone: (610) 525-9570

    Fax: (610) 527-0334

    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 331 Open Payments records for all available years, with a total value of $4,523.

Total Amount is formed as General ($4,523) + Research ($0) + Ownership ($0) = $4,523.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,249).

Total Amount

$4,523

General + Research + Ownership

Payments

331

Total payment records

General Amount

$4,523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2010-10-05

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
I20101005000408IGastroenterologyPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes224181$0
45380Biopsy of large bowel using a flexible endoscope162161$0
99205New patient office or other outpatient visit, 60-74 minutes157157$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare153152$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope130130$0
View full utilization report →

Insurance plans in this area (ZIP 19010)

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Provider's Procedures

DR. THOMAS J MCKENNA (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYPA45385Removal of polyps or growths of large bowel using an endoscope6663

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: 4183610934View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicinePA
H E M A T O L O G Y/ O N C O L O G YPA
-PA
-PA
Cardiovascular Disease (Cardiology)PA
Hematology, Internal MedicinePA
-PA
D E R M A T O L O G YPA
G A S T R O E N T E R O L O G YPA
-PA

Reviews

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Frequently asked questions

Is DR. THOMAS J MCKENNA (M.D.) listed with a National Provider Identifier?
Yes — DR. THOMAS J MCKENNA (M.D.) has NPI 1063724490 on file in the registry.
Active or inactive — what applies to DR. THOMAS J MCKENNA (M.D.)?
You should see DR. THOMAS J MCKENNA (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. THOMAS J MCKENNA (M.D.)?
DR. THOMAS J MCKENNA (M.D.)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. THOMAS J MCKENNA (M.D.) registered?
Use Bryn Mawr, Pennsylvania as the headline location for DR. THOMAS J MCKENNA (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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