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RICHARD GORDON KENNEDY M.D.
NPI 1881659845
Family Medicine in Penfield, NY

Active since April 20, 2006PECOS Enrolled
1835 FAIRPORT NINE MILE POINT RD, STE 100, PENFIELD, NY 14526(585) 758-0777(585) 388-9079 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Gordon Kennedy M.d. NPPES

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

RICHARD GORDON KENNEDY M.D. (NPI 1881659845) is an individual family medicine provider in Penfield, New York, licensed in New York (167256) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881659845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD GORDON KENNEDYCredential: M.D.
Location Address1835 FAIRPORT NINE MILE POINT RD, STE 100Penfield, NY 14526-1903
Mailing Address1835 Fairport Nine Mile Point Rd, Ste 100Penfield, NY 14526-1903 · (585) 758-0777 · Fax (585) 388-9079
Phone(585) 758-0777
Fax(585) 388-9079
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateSeptember 16, 2016
✔ NPI 1881659845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 167256
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.
1835 FAIRPORT NINE MILE POINT RD, Penfield, NY 14526
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Other Identifiers 3

Medicare UPINE28125NY
Medicaid01159993NY
Medicare PINJ400277140NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Gordon Kennedy M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Rochester
9.6 mi
Internal Medicine
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 279 clinicians in this Medicare group
NPI 1710226824 (585) 784-1017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14526 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

LANDYN RAE SPRAGUE
Nurse Practitioner
1835 FAIRPORT NINE MILE POINT RD
PENFIELD, NY 14526
Monroe County (585) 758-0777
MISS NICOLE L NOLAN DPT
Physical Therapist
1835 FAIRPORT NINE MILE POINT RD
PENFIELD, NY 14526
Monroe County (585) 341-9200
DOUGLAS DAVID FIEN F.N.P.
Nurse Practitioner (Family)
1835 FAIRPORT NINE MILE POINT RD, STE 100
PENFIELD, NY 14526
Monroe County (585) 758-0777
MORGAN MCMANUS FNP
Nurse Practitioner (Family)
1835 FAIRPORT NINE MILE POINT RD
PENFIELD, NY 14526
Monroe County (585) 758-0777

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 Richard Kennedy's NPI number?

The NPI number for Richard Kennedy is 1881659845. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Richard Kennedy located?

Richard Kennedy practices at 1835 Fairport Nine Mile Point Rd Ste 100, Penfield, NY 14526. The listed phone number is (585) 758-0777.

What is Richard Kennedy's specialty?

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

Is Richard Kennedy enrolled in Medicare?

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

Which organization bills Medicare for Richard Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Kennedy reassigns Medicare benefits to University Of Rochester (Rochester, NY). The 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 Richard Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Kennedy was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.