BRANDON J. KENNEDY MD
NPI 1699395624
Ophthalmology - Retina Specialist in Salt Lake City, UT
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Brandon Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Visalia, CA 93277
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1194868398 (California)
- 16 clinicians in this Medicare group
Klamath Falls, OR 97603
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Santa Barbara, CA 93105
- Reassigned Medicare billing, California enrollment
- 403 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ORPhysician 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.
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.
Which organizations bill Medicare for Brandon Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Kennedy reassigns Medicare benefits to 3 organizations: California Retina Consultants (Visalia, CA), University Professional Services (Klamath Falls, OR) and Sansum Clinic (Santa Barbara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Kennedy accept?
Health plans from Moda Health Plan, Inc. 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 2 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.
# Brandon J. Kennedy, MD · NPI 1699395624
Retina Specialist physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 20, 2020.
## Identity
- **NPI:** 1699395624 (Entity type: Individual)
- **Enumerated:** April 20, 2020
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** A208441 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, Salt Lake City, UT 84132-0001
- **Phone:** (801) 581-2352
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): California Retina Consultants (NPI 1750641775, Visalia, CA); University Professional Services (NPI 1659605707, Klamath Falls, OR); Sansum Clinic (NPI 1932121514, Santa Barbara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1699395624) · Data from the CMS NPPES public registry.