DR. KENNETH W JR. PATRIC (MD) – Family Medicine Physician, NPI 1366480014
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KENNETH W JR. PATRIC (MD)
2009 Old Lafayette Rd
Fort Oglethorpe, GA 307423510
Phone: (706) 866-5520
Fax: (706) 657-2958
Type: Location
403 MCBRIEN RD
EAST RIDGE, TN 374123223
Phone: (423) 875-0700
Type: Location
2485, Baskette Way, Drake Forest, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37421, United States
CHATTANOOGA, TN 374217615
Phone: (423) 240-4829
Fax: (615) 425-4271
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Nevro Corp. ($141).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $141 |
| Insulet Corporation | $18 |
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: 2013-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070425000692 | I | Family Practice | TN | TBD |
| I20121110000040 | I | Family Practice | KY | TBD |
| I20121116000265 | I | Family Practice | AZ | TBD |
| I20130628000015 | I | Family Practice | GA | 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 30742)
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Reviews
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