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COURTNEY KENNEDY DO
NPI 1215564604
Emergency Medicine in Smithtown, NY

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787(631) 862-3000 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Jun 20, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Courtney Kennedy Do NPPES

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

COURTNEY KENNEDY DO (NPI 1215564604) is an individual emergency medicine provider in Smithtown, New York, licensed in New York (321831) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1215564604
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCOURTNEY KENNEDYCredential: DO
Location Address50 NEW YORK AVE # 25ASmithtown, NY 11787-3448
Mailing Address50 New York Ave # 25aSmithtown, NY 11787-3448 · (631) 862-3000
Phone(631) 862-3000
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1215564604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 321831
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
50 NEW YORK AVE # 25A, Smithtown, NY 11787
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Secondary Practice Location 1

Location 1200 Belle Terre RdPort Jefferson, NY 11777-1968 · Phone (631) 474-6000

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

Courtney Kennedy Do 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 ID6002273695
PECOS Enrollment IDI20230613003199
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
564 services543 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
275 services265 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
92 services90 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 17

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

MR. DONALD PETER JOHNSON
Nurse Practitioner (Family)
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
CHRISTOPHER RIO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
JINCY RAJAN MD
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748
MR. MICHAEL CRESSON NP
Nurse Practitioner (Adult Health)
50 NEW YORK AVE # 25A, CARDIAC CATH LAB
SMITHTOWN, NY 11787
Suffolk County (631) 862-3215
DAVID RAPOPORT MD
Emergency Medicine
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
KENNY WANG PA
Physician Assistant
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (904) 372-3943
AIDA BOUMIZA DO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748
MONIQUE ABARCA
Nurse Practitioner
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (904) 372-3943

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 Courtney Kennedy's NPI number?

The NPI number for Courtney Kennedy is 1215564604. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Courtney Kennedy located?

Courtney Kennedy practices at 50 New York Ave # 25A, Smithtown, NY 11787. The listed phone number is (631) 862-3000.

What is Courtney Kennedy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Courtney Kennedy enrolled in Medicare?

Yes. Courtney Kennedy 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.

Is Courtney Kennedy affiliated with any hospitals?

According to CMS data, Courtney Kennedy is affiliated with St Charles Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Kennedy was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.