PATRICK KENNEDY JR.
NPI 1790149862
Otolaryngology in Park Ridge, IL

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068(847) 674-5585 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, May 9, 2024, Dec 23, 2021 and 1 more (4 updates tracked since 2016).

About Patrick Kennedy Jr. NPPES

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

PATRICK KENNEDY JR. (NPI 1790149862) is an individual otolaryngology provider in Park Ridge, Illinois, licensed in Ohio (57.028404) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Niles.

NPPES Registry Identity

NPI1790149862
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePATRICK KENNEDY JR.
Location Address2604 DEMPSTER ST STE 501Park Ridge, IL 60068-8429
Mailing Address2604 Dempster St Ste 501Park Ridge, IL 60068-8429 · (847) 674-5585
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1790149862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 57.028404
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2604 DEMPSTER ST STE 501, Park Ridge, IL 60068

Secondary Practice Location 1

Location 18780 W Golf Rd Ste 200Niles, IL 60714-5611 · Phone (847) 674-5585 · Fax (847) 824-1698

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

Patrick Kennedy Jr. 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 ID9436443066
PECOS Enrollment IDI20210715002531
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 13

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.

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.
505 services366 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
423 services316 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.
219 services188 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
194 services194 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
141 services141 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
141 services138 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 19

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

Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Otolaryngology
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Otolaryngology
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Audiologist-Hearing Aid Fitter
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068

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 Patrick Kennedy's NPI number?

The NPI number for Patrick Kennedy is 1790149862. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Patrick Kennedy located?

Patrick Kennedy practices at 2604 Dempster St Ste 501, Park Ridge, IL 60068. The listed phone number is (847) 674-5585.

What is Patrick Kennedy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Patrick Kennedy enrolled in Medicare?

Yes. Patrick 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.

Is Patrick Kennedy affiliated with any hospitals?

According to CMS data, Patrick Kennedy is affiliated with Northshore University Healthsystem - Evanston Hospital and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Kennedy was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.