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KENNERLY CLINTON PATRICK D.O.
NPI 1346776507
Internal Medicine - Nephrology in Richmond, VA

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1101 EAST MARSHALL ST, RICHMOND, VA 23298(804) 828-9682(804) 828-7567 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2022, May 10, 2017 (2 updates tracked since 2017).

About Kennerly Clinton Patrick D.o. NPPES

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

KENNERLY CLINTON PATRICK D.O. (NPI 1346776507) is an individual nephrology provider in Richmond, Virginia, licensed in Virginia (0102207203) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346776507
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKENNERLY CLINTON PATRICKCredential: D.O.
Location Address1101 EAST MARSHALL STRichmond, VA 23298
Mailing Address1101 East Marshall St. Po Box 980160Richmond, VA 23298 · (804) 828-9682 · Fax (804) 828-7567
Phone(804) 828-9682
Fax(804) 828-7567
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2017
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1346776507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0102207203
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0102207203 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1101 EAST MARSHALL ST, Richmond, VA 23298
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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

Kennerly Clinton Patrick D.o. 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 ID4880965508
PECOS Enrollment IDI20221129002226
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
164 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
135 services64 patients
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.
128 services66 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
92 services19 patients
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.
62 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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 Kennerly Patrick's NPI number?

The NPI number for Kennerly Patrick is 1346776507. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Kennerly Patrick located?

Kennerly Patrick practices at 1101 East Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-9682.

What is Kennerly Patrick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kennerly Patrick enrolled in Medicare?

Yes. Kennerly Patrick 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 Kennerly Patrick affiliated with any hospitals?

According to CMS data, Kennerly Patrick is affiliated with Medical College Of Virginia Hospitals and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kennerly Patrick was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.