DEREK KENNEDY
NPI 1396088571
Emergency Medicine in Jamestown, NY

Q: What is Derek Kennedy's NPI number?

The NPI number for Derek Kennedy is 1396088571. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Q: What is Derek Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Kennedy was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment

207 FOOTE AVE, JAMESTOWN, NY 14701(716) 664-8120 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 6, 2023, May 24, 2021, Jul 12, 2018 (3 updates tracked since 2018).

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About Derek Kennedy NPPES

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

DEREK KENNEDY (NPI 1396088571) is an individual emergency medicine provider in Jamestown, New York, licensed in New York (292055) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Northern Dutchess Hospital, and is a graduate of Yale University School Of Medicine (2013).

NPPES Registry Identity

NPI1396088571

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDEREK KENNEDY

Location Address207 FOOTE AVEJamestown, NY 14701-7077

Mailing Address5950 Bowman RdEast Syracuse, NY 13057-9500

Phone(716) 664-8120

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2013

Enumeration DateApril 5, 2013

Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1396088571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in NY · 292055✔ Licensed in AZ · 70765

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.

207 FOOTE AVE, Jamestown, NY 14701

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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

Derek Kennedy 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 ID4082912670

PECOS Enrollment IDI20180726001583, I20231021000121

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 5

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.

186 services181 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.

94 services92 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.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330049

Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County

Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330273

Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

MELISSA MURPHY

Physician Assistant

207 FOOTE AVE, SUITE 160 GASTROENTEROLOGY
JAMESTOWN, NY 14701

Chautauqua County (270) 485-7990

WILLIAM BAUMGRATZ

Emergency Medicine