TOM KENNEY
NPI 1710070057
Family Medicine in Bloomington, IL

Active since October 01, 2006PECOS Enrolled
1405 EASTLAND DR, BLOOMINGTON, IL 61701(309) 661-2400(309) 661-6226 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tom Kenney NPPES

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

TOM KENNEY (NPI 1710070057) is an individual family medicine provider in Bloomington, Illinois, licensed in Illinois (036073299) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1985).

NPPES Registry Identity

NPI1710070057
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOM KENNEY
Location Address1405 EASTLAND DRBloomington, IL 61701-3514
Mailing Address1405 Eastland DrBloomington, IL 61701-3514 · (309) 661-2400 · Fax (309) 661-6226
Fax(309) 661-6226
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1985
Enumeration DateOctober 1, 2006
Last NPPES UpdateSeptember 16, 2008
NPI 1710070057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036073299
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1405 EASTLAND DR, Bloomington, IL 61701

Other Identifiers 8

Other961850IL · Medicare Group Number
Medicare UPINC40131
Medicare ID-Type Unspecified080177959IL · Rr Individual #
Medicare ID-Type Unspecified833120IL · Group #
Medicare PIN995030IL
Medicare ID-Type UnspecifiedCA2264IL · Rr Group #
Medicaid036073299IL
Medicare ID-Type UnspecifiedL90789IL · Individual #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tom Kenney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557550787
PECOS Enrollment IDI20110104000744
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 19

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
428 services265 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.
228 services155 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.
176 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
84 services84 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
77 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services64 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers42 claims104 services$6.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
1405 EASTLAND DR
BLOOMINGTON, IL 61701
Nurse Practitioner
1405 EASTLAND DR
BLOOMINGTON, IL 61701
Nurse Practitioner
1405 EASTLAND DR
BLOOMINGTON, IL 61701

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 Tom Kenney's NPI number?

The NPI number for Tom Kenney is 1710070057. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is Tom Kenney located?

Tom Kenney practices at 1405 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 661-2400.

What is Tom Kenney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tom Kenney enrolled in Medicare?

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

Is Tom Kenney affiliated with any hospitals?

According to CMS data, Tom Kenney is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Tom Kenney was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.