KENNON MILLER (MD) – Urology Physician, NPI 1689786725
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 UROLOGY in RI
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Provider Addresses for KENNON MILLER (MD)
144, Woodbury Street, Blackstone, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 029063546
Phone: (401) 435-6600
Type: Mailing
450, Veterans Memorial Parkway, Kent Heights, East Providence, Providence County, Rhode Island, 02914, United States
BUILDING 14
E PROVIDENCE, RI 029145300
Phone: (401) 435-6600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Boston Scientific Corporation ($251).
Total Amount
$251
General + Research + Ownership
Payments
6
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $251 |
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: 2004-08-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040809000969 | I | Urology | RI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 80 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 82 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 61 | $0 |
| 81003 | Automated urinalysis test | 55 | 44 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 46 | 38 | $0 |
Insurance plans in this area (ZIP 02906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| U R O L O G Y | RI | |
| U R O L O G Y | MA | |
| - | RI | |
| - | RI | |
| U R O L O G Y | RI | |
| Nurse Practitioner | RI | |
| Radiation Oncology | RI | |
| U R O L O G Y | RI | |
| U R O L O G Y | RI |
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