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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW KENNEY DO
NPI 1417694050
Family Medicine - Sports Medicine in Fort Drum, NY

Active since May 16, 2022PECOS Enrolled
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(888) 838-1303 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, Jul 9, 2025, May 16, 2022 (3 updates tracked since 2022).

About Dr. Matthew Kenney Do NPPES

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

DR. MATTHEW KENNEY DO (NPI 1417694050) is an individual sports medicine provider in Fort Drum, New York, licensed in Texas (U9564) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417694050
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. MATTHEW KENNEYCredential: DO
Location Address11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602-5438
Mailing Address11050 Mount Belvedere BlvdFort Drum, NY 13602-5438 · (888) 838-1303
Phone(888) 838-1303
Sole ProprietorNo
Enumeration DateMay 16, 2022
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1417694050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · U9564
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License U95564 (TX)
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
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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 (PECOS)

Dr. Matthew Kenney Do 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 13602 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.

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Matthew Kenney's NPI number?

The NPI number for Matthew Kenney is 1417694050. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Matthew Kenney located?

Matthew Kenney practices at 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (888) 838-1303.

What is Matthew Kenney's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Matthew Kenney enrolled in Medicare?

Yes. Matthew Kenney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Kenney was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.