SUSAN H KENNEDY (MD) – Family Medicine Physician, NPI 1962409227

SUSAN H KENNEDY (MD) is a healthcare provider. based in Lansdale, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD421463 (PA). The NPI Number for SUSAN H KENNEDY (MD) is 1962409227

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN H KENNEDY (MD)
NPI
1962409227
Phone
(215) 855-1054
Address
826 N BROAD ST
Enumeration Date
1 July 2005
Last Update Date
29 July 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2158551054
Graduation Year
2000 (26 years ago)
PAC ID
5193853745
Group Practice PAC ID
8123001872
Professional Enrollment ID
I20100503000477
Address ID
PA194462321LA826XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,123 FAMILY PRACTICE in PA

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Provider Addresses for SUSAN H KENNEDY (MD)

  • 826, North Broad Street, Lansdale, Montgomery County, Pennsylvania, 19446, United States

    LANSDALE, PA 194462321

    Phone: (215) 855-1054

    Fax: (215) 855-3786

    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 239 Open Payments records for all available years, with a total value of $4,289.

Total Amount is formed as General ($4,289) + Research ($0) + Ownership ($0) = $4,289.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($769).

Total Amount

$4,289

General + Research + Ownership

Payments

239

Total payment records

General Amount

$4,289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-05-03

PECOS data refreshed: 2026-06-15

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
I20100503000477IFamily PracticePATBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit523523$0
99213Established patient office or other outpatient visit, 20-29 minutes478369$0
99214Established patient office or other outpatient visit, 30-39 minutes390291$0
G0008Administration of influenza virus vaccine178177$0
90662Influenza vaccine split virus, preservative free177176$0
View full utilization report →

Insurance plans in this area (ZIP 19446)

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Provider's Procedures

SUSAN H KENNEDY (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA81002Urinalysis, manual test1614
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle5656

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: 8123001872View full group profile
NameSpecialtyState
Physician AssistantPA
Family PracticePA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
Family PracticePA
Family PracticePA

Reviews

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Frequently asked questions

How is SUSAN H KENNEDY (MD) identified in CMS data?
CMS-hosted NPPES data lists SUSAN H KENNEDY (MD) with NPI 1962409227.
Does CMS list SUSAN H KENNEDY (MD) as active?
Yes — SUSAN H KENNEDY (MD) is active in the NPI listing used on this page.
What taxonomy line describes SUSAN H KENNEDY (MD)?
For research purposes, treat SUSAN H KENNEDY (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUSAN H KENNEDY (MD) based?
SUSAN H KENNEDY (MD) is tied to Lansdale, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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