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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.

BRANDON J. KENNEDY MD
NPI 1699395624
Ophthalmology - Retina Specialist in Salt Lake City, UT

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment
65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, SALT LAKE CITY, UT 84132(801) 581-2352 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Sep 20, 2021, Apr 20, 2020 (3 updates tracked since 2020).

About Brandon J. Kennedy Md NPPES

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

BRANDON J. KENNEDY MD (NPI 1699395624) is an individual retina specialist in Salt Lake City, Utah, licensed in California (A208441) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1699395624
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameBRANDON J. KENNEDYCredential: MD
Location Address65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132Salt Lake City, UT 84132-0001
Mailing Address65 Mario Capecchi Dr Salt Lake City Ut 84132Salt Lake City, UT 84132-0001 · (801) 581-2352
Phone(801) 581-2352
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 20, 2020
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1699395624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in CA · A208441
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 12439653-1205 (UT)
65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

Brandon J. Kennedy Md 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 ID5496151375
PECOS Enrollment IDI20240620003933
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.

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brandon Kennedy's NPI number?

The NPI number for Brandon Kennedy is 1699395624. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Brandon Kennedy located?

Brandon Kennedy practices at 65 Mario Capecchi Dr Salt Lake City Ut 84132, Salt Lake City, UT 84132. The listed phone number is (801) 581-2352.

What is Brandon Kennedy's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Brandon Kennedy enrolled in Medicare?

Yes. Brandon 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.

What insurance does Brandon Kennedy accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brandon Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Kennedy affiliated with any hospitals?

According to CMS data, Brandon Kennedy is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Brandon Kennedy was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.