DR. KYLE LEE KENNEDY (M.D.) – Specialist, NPI 1114953353

DR. KYLE LEE KENNEDY (M.D.) is a healthcare provider. based in Amarillo, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. K0325 (TX). The NPI Number for DR. KYLE LEE KENNEDY (M.D.) is 1114953353

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE LEE KENNEDY (M.D.)
NPI
1114953353
Phone
(806) 355-8293
Address
5211 W 9TH AVE
Enumeration Date
22 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805310022
Graduation Year
1994 (32 years ago)
PAC ID
0042121030
Group Practice PAC ID
5799732236
Professional Enrollment ID
I20230608000010
Address ID
OK735059521LA5402XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. KYLE LEE KENNEDY (M.D.)

  • 9th Avenue, Amarillo, Potter County, Texas, 79116, United States

    AMARILLO, TX 791064120

    Phone: (806) 355-8293

    Fax: (806) 355-7298

    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 12 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Avadel CNS Pharmaceuticals, LLC ($86).

Total Amount

$301

General + Research + Ownership

Payments

12

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

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: 2023-06-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230608000010IOtolaryngologyOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12086$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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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: 5799732236View full group profile
NameSpecialtyState
Qualified AudiologistOK
Otolaryngology, Sleep MedicineOK
Nurse PractitionerOK
-OK
Physician AssistantOK

Reviews

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Frequently asked questions

What federal number belongs to DR. KYLE LEE KENNEDY (M.D.)?
The federal identifier for DR. KYLE LEE KENNEDY (M.D.) is NPI 1114953353.
Is DR. KYLE LEE KENNEDY (M.D.) active in the national directory?
DR. KYLE LEE KENNEDY (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. KYLE LEE KENNEDY (M.D.)?
The page reflects Other Service Providers for DR. KYLE LEE KENNEDY (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KYLE LEE KENNEDY (M.D.)?
The snapshot lists Amarillo, Texas for DR. KYLE LEE KENNEDY (M.D.); download NPPES for the complete set.
Is DR. KYLE LEE KENNEDY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1114953353. Always confirm identity and privileges with the practice and licensing boards.

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