DR. KIEREN MARIE KAVENEY LUPO (D.O.) – Emergency Medicine Physician, NPI 1114377355

DR. KIEREN MARIE KAVENEY LUPO (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OT016975 (PA). The NPI Number for DR. KIEREN MARIE KAVENEY LUPO (D.O.) is 1114377355

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIEREN MARIE KAVENEY LUPO (D.O.)
NPI
1114377355
Phone
(215) 456-7890
Address
5501 Old York Rd
Enumeration Date
19 June 2016
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9283442000
Graduation Year
2016 (10 years ago)
PAC ID
0446675151
Group Practice PAC ID
5193002954
Professional Enrollment ID
I20200728003764
Address ID
AZ853647127YU2400XAXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for DR. KIEREN MARIE KAVENEY LUPO (D.O.)

  • 5501 Old York Rd

    Philadelphia, PA 191413018

    Phone: (215) 456-7890

    Type: Location

  • Yuma Regional Medical Center, 2400, South Avenue A, Palmcroft Estates, Yuma, Yuma County, Arizona, 85364, United States

    DEPARTMENT OF EMERGENCY MEDICINE

    YUMA, AZ 85364

    Phone: (928) 344-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$30
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: 2020-07-28

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
I20200728003764IEmergency MedicineAZTBD

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
99285Emergency department visit with high level of medical decision making322314$0
99284Emergency department visit with moderate level of medical decision making6765$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 19141)

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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: 5193002954View full group profile
NameSpecialtyState
Emergency MedicineCA
-TX
Emergency MedicineMI
Emergency MedicineCA
Internal Medicine, Emergency MedicinePA
-NY
Emergency MedicineAZ
Family PracticeCA
Emergency MedicinePA
Emergency MedicineAZ

Reviews

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Frequently asked questions

How do payers reference DR. KIEREN MARIE KAVENEY LUPO (D.O.)?
For DR. KIEREN MARIE KAVENEY LUPO (D.O.), use NPI 1114377355 as the unique 10-digit identifier.
Would DR. KIEREN MARIE KAVENEY LUPO (D.O.) appear as active to a payer?
You can treat DR. KIEREN MARIE KAVENEY LUPO (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. KIEREN MARIE KAVENEY LUPO (D.O.)?
DR. KIEREN MARIE KAVENEY LUPO (D.O.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIEREN MARIE KAVENEY LUPO (D.O.)?
Directory geography for DR. KIEREN MARIE KAVENEY LUPO (D.O.) centers on Philadelphia, Pennsylvania.
Does DR. KIEREN MARIE KAVENEY LUPO (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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