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DR. THOMAS JAMES KENNEDY III M.D.
NPI 1215033402
Plastic Surgery in Bridgeport, WV

Active since September 15, 2006PECOS Enrolled
527 MEDICAL PARK DR, SUITE 203, BRIDGEPORT, WV 26330(681) 342-3190 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas James Kennedy Iii M.d. NPPES

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

DR. THOMAS JAMES KENNEDY III M.D. (NPI 1215033402) is an individual plastic surgery provider in Bridgeport, West Virginia, licensed in West Virginia (WV20534) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215033402
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. THOMAS JAMES KENNEDY IIICredential: M.D.
Location Address527 MEDICAL PARK DR, SUITE 203Bridgeport, WV 26330-9007
Mailing Address527 Medical Park Dr, Suite 203Bridgeport, WV 26330-9007 · (681) 342-3190 · Fax (681) 342-3195
Phone(681) 342-3190
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 8, 2011
✔ NPI 1215033402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WV · WV20534
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 20534 (WV)
527 MEDICAL PARK DR, Bridgeport, WV 26330
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Other Identifiers 8

Medicare UPINA42220WV
Other001722749WV · Blue Cross/blue Shield
OtherWV20534WV · Health Plan
Other550781237WV · Tax Id
Other1056649WV · Worker's Comp Brick St
Medicare PIN4055561WV
Other350670000WV · Fedworker's Compensation
Medicaid3002519000WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas James Kennedy Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL T. ANGOTTI MD
Internal Medicine
527 MEDICAL PARK DR, SUITE 307
BRIDGEPORT, WV 26330
Harrison County (304) 933-3332
KELLY ELIZABETH HUMPHREYS MD
Obstetrics & Gynecology
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330
Harrison County (800) 607-8888
UNITED HOSPITAL CENTER INC
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Harrison County (681) 342-3600
DR. JULIE K. MCCAMMON M.D
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Harrison County (304) 933-3868
ASHLEE A SECRET MD
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Harrison County (681) 342-3600
MARC LANCE COSTA MD
Surgery
527 MEDICAL PARK DR, SUITE 202
BRIDGEPORT, WV 26330
Harrison County (304) 933-3850
DR. WANDA M HEMBREE M.D.
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 108
BRIDGEPORT, WV 26330
Harrison County (304) 848-2150
JEFFREY W. MADDEN M.D.
Surgery
527 MEDICAL PARK DR, SUITE 202
BRIDGEPORT, WV 26330
Harrison County (304) 933-3850

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 Thomas Kennedy's NPI number?

The NPI number for Thomas Kennedy is 1215033402. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Thomas Kennedy located?

Thomas Kennedy practices at 527 Medical Park Dr Suite 203, Bridgeport, WV 26330. The listed phone number is (681) 342-3190.

What is Thomas Kennedy's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Thomas Kennedy enrolled in Medicare?

Yes. Thomas Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Kennedy was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.