KENNY R SIZEMORE (MD) – Rheumatology Physician, NPI 1346229861
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 RHEUMATOLOGY in TN
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Provider Addresses for KENNY R SIZEMORE (MD)
1225, East Weisgarber Road, Timbercrest, Knoxville, Knox County, Tennessee, 37909, United States
STE 200
KNOXVILLE, TN 379092604
Phone: (865) 584-4747
Type: Mailing
8975, Executive Park Drive, Knoxville, Knox County, Tennessee, 37923, United States
SUITE 200
KNOXVILLE, TN 379233624
Phone: (865) 691-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 518 Open Payments records for all available years, with a total value of $8,996.
Total Amount is formed as General ($8,996) + Research ($0) + Ownership ($0) = $8,996.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($2,032).
Total Amount
$8,996
General + Research + Ownership
Payments
518
Total payment records
General Amount
$8,996
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,032 |
| Amgen Inc. | $1,694 |
| Janssen Biotech, Inc. | $685 |
| UCB, Inc. | $618 |
| Novartis Pharmaceuticals Corporation | $335 |
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: 2006-04-11
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 |
|---|---|---|---|---|
| I20060411000757 | I | Rheumatology | 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 |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 18,000 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,278 | 819 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,137 | 731 | $0 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 661 | 520 | $0 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 505 | 412 | $0 |
Insurance plans in this area (ZIP 37909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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