DR. JEREMY SCOTT KENNEDY (D.O.) – Dermatology Physician, NPI 1528022779
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. JEREMY SCOTT KENNEDY (D.O.)
611 WATKINS CENTRE PKWY STE 350
MIDLOTHIAN, VA 231144404
Phone: (804) 464-8644
Fax: (804) 464-8508
Type: Mailing
Granite Valley Medical Office Building #1, 14506, West Granite Valley Drive, Sun City Grand, Maricopa County, Arizona, 85375, United States
#124
SUN CITY WEST, AZ 853756010
Phone: (623) 584-2127
Fax: (623) 854-1257
Type: Location
North Santa Fe Avenue, Princeville, Peoria County, Illinois, 61559, United States
C-101
PEORIA, AZ 853813629
Phone: (623) 760-9449
Fax: (613) 974-9351
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,092.
Total Amount is formed as General ($2,092) + Research ($0) + Ownership ($0) = $2,092.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($638).
Total Amount
$2,092
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,092
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. | $638 |
| Janssen Biotech, Inc. | $128 |
| Novartis Pharmaceuticals Corporation | $120 |
| Amgen Inc. | $102 |
| Dermavant Sciences, Inc. | $98 |
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: 2025-06-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120321000416 | I | Dermatology | AZ | TBD |
| I20250623003466 | I | Dermatology | VA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 6,441 | 1,021 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,528 | 1,637 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,905 | 1,294 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 766 | 624 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 500 | 405 | $0 |
Insurance plans in this area (ZIP 23114)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AZ | 11101 | Biopsy of each additional growth of skin and/or tissue | 403 | 249 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ | |
| Dermatology, Pathology | AZ | |
| P A T H O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| - | AZ | |
| Physician Assistant | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.