MAX HENNESSY – Otolaryngology Physician, NPI 1487146429

MAX HENNESSY is a healthcare provider. based in Hershey, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold a License No. MD486155 (PA). The NPI Number for MAX HENNESSY is 1487146429

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MAX HENNESSY
NPI
1487146429
Phone
(717) 835-1900
Address
34 Northeast Dr
Enumeration Date
5 June 2018
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7177637400
Graduation Year
2018 (8 years ago)
PAC ID
4082965413
Group Practice PAC ID
7012955909
Professional Enrollment ID
I20240731003416
Address ID
PA170112203CA875XXRDXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

Provider Addresses for MAX HENNESSY

  • 34 Northeast Dr

    Hershey, PA 170332732

    Phone: (717) 835-1900

    Type: Location

  • 850 Walnut Bottom Rd Ste 304

    Carlisle, PA 170133615

    Phone: (717) 763-7400

    Type: Location

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    HERSHEY, PA 170332360

    Phone:

    Type: Mailing

  • 875 POPLAR CHURCH RD STE 320

    CAMP HILL, PA 170112203

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($78).

Total Amount

$179

General + Research + Ownership

Payments

5

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-07-31

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
I20240731003416IOtolaryngologyPATBD

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 17033)

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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: 7012955909View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
Physician AssistantPA
Physician AssistantPA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
-PA
Physician AssistantPA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA

Reviews

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Frequently asked questions

What NPI should I save for MAX HENNESSY?
Save NPI 1487146429 if you need a stable reference for MAX HENNESSY.
Is MAX HENNESSY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MAX HENNESSY?
The page reflects Otolaryngology Physician for MAX HENNESSY. Clinical services aligned with this taxonomy classification.
What location shows for MAX HENNESSY?
We surface Hershey, Pennsylvania for MAX HENNESSY based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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