KELLY KINNEAR (M.D.) – Obstetrics Physician, NPI 1649682147

KELLY KINNEAR (M.D.) is a healthcare provider. based in Athens, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 43170 (OK). The NPI Number for KELLY KINNEAR (M.D.) is 1649682147

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KELLY KINNEAR (M.D.)
NPI
1649682147
Phone
(423) 745-3394
Address
817 COOK DR
Enumeration Date
2 June 2014
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
7113277195
Group Practice PAC ID
5991105876
Professional Enrollment ID
I20240924004075
Address ID
OK731044637OK1200XAVEX358
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

897 OBSTETRICS/GYNECOLOGY in TN

Provider Addresses for KELLY KINNEAR (M.D.)

  • 817 COOK DR

    ATHENS, TN 373033485

    Phone: (423) 745-3394

    Fax: (423) 745-6779

    Type: Mailing

  • 825 NE 10TH ST STE 3C

    OKLAHOMA CITY, OK 731045417

    Phone: (405) 271-5239

    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 $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Silk Road Medical, Inc. ($167).

Total Amount

$279

General + Research + Ownership

Payments

6

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2024-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180912003205IObstetrics/GynecologyTNTBD
I20240924004075IObstetrics/GynecologyOKTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1717$0
View full utilization report →

Insurance plans in this area (ZIP 37303)

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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: 5991105876View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
O P H T H A L M O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
R H E U M A T O L O G YOK
Nurse PractitionerOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Family Practice, HospitalistOK
Medical OncologyRI
Clinical Social WorkerOK

Reviews

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Frequently asked questions

Where can patients find KELLY KINNEAR (M.D.)'s NPI?
You can confirm KELLY KINNEAR (M.D.) with NPI 1649682147; it appears in the national provider directory.
Is KELLY KINNEAR (M.D.) currently active in the NPI registry?
CMS-published data lists KELLY KINNEAR (M.D.) as an active registrant.
What kind of provider is KELLY KINNEAR (M.D.)?
The page reflects Obstetrics Physician for KELLY KINNEAR (M.D.). Clinical services aligned with this taxonomy classification.
Does KELLY KINNEAR (M.D.) practice in Tennessee?
You will see Athens, Tennessee on file for KELLY KINNEAR (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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