JUSTIN C KENNON (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1104265099
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
737 ORTHOPEDIC SURGERY in TN
Provider Addresses for JUSTIN C KENNON (MD)
PO BOX 32569
KNOXVILLE, TN 379302569
Phone: (865) 694-7725
Fax: (865) 560-8525
Type: Mailing
988 OAK RIDGE TPKE STE 100
OAK RIDGE, TN 378306919
Phone: (865) 483-8478
Fax: (865) 483-4194
Type: Location
988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 378306919
Phone: (865) 483-8478
Fax: (865) 483-4194
Type: Location
6484 Kingston Pike
Knoxville, TN 379194863
Phone: (865) 690-4861
Fax: (865) 693-0338
Type: Location
PO BOX 306556
NASHVILLE, TN 372306556
Phone: (865) 694-0062
Fax: (865) 694-7907
Type: Mailing
9430 PARK WEST BLVD STE 130
KNOXVILLE, TN 379234205
Phone: (865) 690-4861
Fax: (865) 560-8525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,517.
Total Amount is formed as General ($1,517) + Research ($0) + Ownership ($0) = $1,517.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Smith+Nephew, Inc. ($378).
Total Amount
$1,517
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $378 |
| Zimmer Biomet Holdings, Inc. | $270 |
| MEDACTA USA, INC. | $257 |
| Smoky Mountain Surgical Llc | $211 |
| Arthrex, Inc. | $96 |
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: 2019-09-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190905001630 | I | Orthopedic Surgery | TN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 477 | 81 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 337 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 283 | 215 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 170 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 84 | 74 | $0 |
Insurance plans in this area (ZIP 37930)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | TN | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Hand Surgery, Orthopedic Surgery | TN | |
| Occupational Therapist In Private Practice | TN | |
| Physician Assistant | AL | |
| Occupational Therapist In Private Practice | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN |
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