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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH JOSEPH EADDY MD
NPI 1154506376
Pain Medicine - Interventional Pain Medicine in Jacksonville, FL

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment
36.6/100
CMS Quality Rating
11705 SAN JOSE BLVD STE 110, JACKSONVILLE, FL 32223(904) 495-7976(904) 683-5688 Get Directions Write a Review

NPPES record last updated: July 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2023, Feb 1, 2023, Jan 11, 2022 and 6 more (9 updates tracked since 2015).

About Dr. Kenneth Joseph Eaddy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JOSEPH EADDY MD (NPI 1154506376) is an individual interventional pain medicine provider in Jacksonville, Florida, licensed in Florida (ME107723) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1154506376
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. KENNETH JOSEPH EADDYCredential: MD
Location Address11705 SAN JOSE BLVD STE 110Jacksonville, FL 32223-1653
Mailing Address11705 San Jose Blvd Ste 110Jacksonville, FL 32223-1653 · (904) 495-7976 · Fax (904) 683-5688
Phone(904) 495-7976
Fax(904) 683-5688
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateJanuary 7, 2008
Last NPPES UpdateJuly 4, 20269 updates tracked since enumeration
NPPES CertifiedJuly 4, 2026
✔ NPI 1154506376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME107723
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME107723 (FL)
11705 SAN JOSE BLVD STE 110, Jacksonville, FL 32223
Open in Google Maps ↗

Secondary Practice Location 1

Location 11731 Wells Rd Ste 100Orange Park, FL 32073-2322 · Phone (904) 495-7993 · Fax (904) 683-5688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Joseph Eaddy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254485956
PECOS Enrollment IDI20100824000330
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
863 services114 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
95 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services49 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
90 services17 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
38 services26 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
24 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

36.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.66
Promoting Interoperability21
Improvement Activities40
Cost27.85

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JAMES LUPI DO
Pain Medicine (Interventional Pain Medicine)
11705 SAN JOSE BLVD STE 110
JACKSONVILLE, FL 32223
Duval County (904) 292-2700
ALDA CILINGIRI APRN, FNP-C
Nurse Practitioner (Family)
11705 SAN JOSE BLVD STE 110
JACKSONVILLE, FL 32223
Duval County (904) 453-7976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Eaddy's NPI number?

The NPI number for Kenneth Eaddy is 1154506376. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Kenneth Eaddy located?

Kenneth Eaddy practices at 11705 San Jose Blvd Ste 110, Jacksonville, FL 32223. The listed phone number is (904) 495-7976.

What is Kenneth Eaddy's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Kenneth Eaddy enrolled in Medicare?

Yes. Kenneth Eaddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Eaddy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kenneth Eaddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Eaddy affiliated with any hospitals?

According to CMS data, Kenneth Eaddy is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Kenneth Eaddy was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.