GREGORY A KENNEBECK MD
NPI 1871579847
Family Medicine in Travis Afb, CA

NPI Status: Active since December 21, 2005

Contact Information

101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 423-1110

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance
  • PECOS Enrolled

About GREGORY KENNEBECK

This page provides the complete NPI Profile along with additional information for Gregory Kennebeck, a primary care provider established in Travis Afb, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1871579847 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X with license number A63038 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1871579847
Provider Name
GREGORY A KENNEBECK MD
Gender
Male
Entity Type
Individual
Location Address
101 BODIN CIR TRAVIS AFB, CA 94535
Location Phone
(707) 423-1110
Mailing Address
2312 FAR HILLS AVE # 147 DAYTON, OH 45419
Mailing Phone
(937) 938-3329
Is Sole Proprietor?
Yes
Enumeration Date
12-21-2005
Last Update Date
05-31-2013
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A primary care provider (PCP) like Gregory Kennebeck sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A63038
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

A63038 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Gregory Kennebeck is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Advance care planning, first 30 minutes

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

This service was performed 179 times for 164 patients

Advance care planning, first 30 minutes

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

This service was performed 15 times for 15 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 39 times for 36 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 90 times for 71 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 194 times for 144 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 135 times for 104 patients

Follow-up nursing facility visit per day, typically 35 minutes

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

This service was performed 20 times for 19 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 241 times for 222 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 18 times for 17 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 111 times for 111 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94535 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.85
  • Minimum New Patient Price $65.02
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $24.71
  • Minimum New Patient Copayment $16.25
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $113.05
  • Minimum Established Patient Price $21.86
  • Maximum Established Patient Price $157.69
  • Average Established Patient Copayment $28.26
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $39.42

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871579847, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 0 + 7 + 1 + 8 + 8 + 8 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1871579847.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
101 BODIN CIR, DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON
TRAVIS AFB, CA 94535
Pediatrics (Pediatric Hematology-Oncology)
101 BODIN CIR, DEPARTMENT OF PEDIATRICS
TRAVIS AFB, CA 94535
Internal Medicine (Cardiovascular Disease)
101 BODIN CIR
TRAVIS AFB, CA 94535
Preventive Medicine (Undersea and Hyperbaric Medicine)
101 BODIN CIR
TRAVIS AFB, CA 94535
Clinical Neuropsychologist
101 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Social Worker (Clinical)
101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine (Sports Medicine)
101 BODIN CIR, 60TH MDOS/SGOL
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR, 60 MDG/SGCSA
TRAVIS AFB, CA 94535
Dietitian, Registered
101 BODIN CIR, 60 MDTS/SGQD
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR, 60TH DENTAL SQUADRON/SGDT
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Orthodontics and Dentofacial Orthopedics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Periodontics)
101 BODIN CIR, 60TH DENTAL SQUADRON (AMC)- DEPARTMENT OF THE AIR FORCE
TRAVIS AFB, CA 94535
Dentist (Endodontics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist (Orthopedic)
101 BODIN CIR
TRAVIS AFB, CA 94535
General Acute Care Hospital
101 BODIN CIR, TRAVIS AFB
FAIRFIELD, CA 94535
Optometrist
101 BODIN CIR, 60AMDS/SGPE
TRAVIS AFB, CA 94535
Emergency Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871579847, enumerated as an "individual" on December 21, 2005.

The provider is located at 101 BODIN CIR TRAVIS AFB, CA 94535 and the phone number is (707) 423-1110.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.