SEAN MICHAEL KENNEDY DO
NPI 1417001025
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Glens Falls, NY

Q: What is Sean Kennedy's NPI number?

The NPI number for Sean Kennedy is 1417001025. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Sean Kennedy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Sean Kennedy was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

93.92/100

CMS Quality Rating

14 HUDSON AVENUE, ADIRONDACK ENT, GLENS FALLS, NY 12801(518) 926-1380(518) 926-1385 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jan 3, 2023, Jun 2, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Sean Michael Kennedy Do NPPES

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

SEAN MICHAEL KENNEDY DO (NPI 1417001025) is an individual otolaryngology/facial plastic surgery provider in Glens Falls, New York, licensed in New York (242492) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and maintains a secondary practice location in Warrensburg.

NPPES Registry Identity

NPI1417001025

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameSEAN MICHAEL KENNEDYCredential: DO

Location Address14 HUDSON AVENUE, ADIRONDACK ENTGlens Falls, NY 12801-4363

Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983

Phone(518) 926-1380

Fax(518) 926-1385

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002

Enumeration DateJanuary 22, 2007

Last NPPES UpdateAugust 30, 20244 updates tracked since enumeration

NPPES CertifiedAugust 30, 2024

✔ NPI 1417001025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in NY · 242492

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

14 HUDSON AVENUE, Glens Falls, NY 12801

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Secondary Practice Location 1

Location 13767 Main StWarrensburg, NY 12885-1890 · Phone (518) 623-2844 · Fax (518) 623-3416

Other Identifiers 2

OtherP00471826NY · Rr Medicare

Medicaid02879821NY

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

Sean Michael 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 ID8921191776

PECOS Enrollment IDI20070910000691

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 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.

36 services33 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

29 services29 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.

26 services24 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330191

Location100 Park StreetGlens Falls, NY 12801 · Warren County

Emergency services Birthing friendly

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.

93.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.28

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

DOUGLAS P KIRKPATRICK MD

Orthopaedic Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - ORTHO
GLENS FALLS, NY 12801

Warren County (189) 265-6005

LOUIS PETER DECUNZO JR. MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

HARRY H. SLATCH M.D.

Urology

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - UROLOGY
GLENS FALLS, NY 12801

Warren County (518) 926-5600

VINCENT T COOPER MD

Urology

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPIAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

DR. MATTHEW JORDAN DICKSON M.D.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

14 HUDSON AVENUE, ADIRONDACK ENT
GLENS FALLS, NY 12801

Warren County (518) 926-1380

MARK T KIRCHER MD

Orthopaedic Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

JAMES G TODT RPAC

Physician Assistant (Surgical)

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL - ORTHO
GLENS FALLS, NY 12801

Warren County (518) 926-5600

DR. STEVEN VINCENT SCALIA M.D.

Surgery

14 HUDSON AVENUE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801

Warren County (518) 926-5600

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 Sean Kennedy's NPI number?

The NPI number for Sean Kennedy is 1417001025. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Sean Kennedy located?

Sean Kennedy practices at 14 Hudson Avenue Adirondack Ent, Glens Falls, NY 12801. The listed phone number is (518) 926-1380.

What is Sean Kennedy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Sean Kennedy enrolled in Medicare?

Yes. Sean 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 Sean Kennedy affiliated with any hospitals?

According to CMS data, Sean Kennedy is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Sean Kennedy was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.