1. Home
  2. Directory
  3. North Carolina
  4. Statesville
  5. Physician Assistant
  6. NPI Profile

MR. TODD EDWARD KENNEDY PA-C
NPI 1720080393
Physician Assistant in Statesville, NC

Active since August 12, 2005PECOS Enrolled
142 SHERLOCK DR, STATESVILLE, NC 28625(704) 838-8256(704) 838-8251 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2018, Jul 26, 2017 (2 updates tracked since 2017).

About Mr. Todd Edward Kennedy Pa-c NPPES

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

MR. TODD EDWARD KENNEDY PA-C (NPI 1720080393) is an individual physician assistant in Statesville, North Carolina, licensed in North Carolina (103906) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720080393
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TODD EDWARD KENNEDYCredential: PA-C
Location Address142 SHERLOCK DRStatesville, NC 28625-1953
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277 · Fax (704) 978-3549
Phone(704) 838-8256
Fax(704) 838-8251
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration
✔ NPI 1720080393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 103906
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
142 SHERLOCK DR, Statesville, NC 28625
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Todd Edward Kennedy Pa-c 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 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers13 claims156 services$18.03 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers13 claims390 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers45 claims145 services$5.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims29 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers22 claims22 services$284.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers226 claims226 services$181.27 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.

AMY ELIZABETH MCLAURIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
142 SHERLOCK DR
STATESVILLE, NC 28625
Iredell County (704) 838-8256
CATHERINE BYERS HEFNER FNP
Nurse Practitioner (Family)
142 SHERLOCK DR
STATESVILLE, NC 28625
Iredell County (704) 838-8256
PALMETTO HOME INFUSION LLC
Pharmacy (Home Infusion Therapy Pharmacy)
142 SHERLOCK DR
STATESVILLE, NC 28625
Iredell County (800) 809-1265

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 Todd Kennedy's NPI number?

The NPI number for Todd Kennedy is 1720080393. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Todd Kennedy located?

Todd Kennedy practices at 142 Sherlock Dr, Statesville, NC 28625. The listed phone number is (704) 838-8256.

What is Todd Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Kennedy enrolled in Medicare?

Yes. Todd Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Todd Kennedy was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.