FRED P KINNICUTT (MD) – Psychiatry Physician, NPI 1427108521
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for FRED P KINNICUTT (MD)
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1462
Fax: (360) 729-3104
Type: Mailing
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 405111277
Phone: (859) 253-1686
Type: Mailing
Hilyard Street, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 97401
Phone: (458) 205-6444
Fax: (458) 205-6440
Type: Location
415 GIBSON LN
RICHMOND, KY 404752577
Phone: (859) 626-5030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($155).
Total Amount
$545
General + Research + Ownership
Payments
27
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-07-09
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 |
|---|---|---|---|---|
| I20150709001415 | I | Psychiatry | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98683)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | OR | |
| Nurse Practitioner | NC | |
| - | OR | |
| Physician Assistant | OR | |
| Pulmonary Disease, Critical Care (Intensivists) | OR | |
| - | OR |
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.