DR. DAMON MARK KENNEDY DO
NPI 1992733224
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jonesboro, AR
About Dr. Damon Mark Kennedy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAMON MARK KENNEDY DO (NPI 1992733224) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Jonesboro, Arkansas, licensed in Arkansas (E-18514) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2000).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Damon Mark Kennedy Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Damon Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, AR 72405
- Reassigned Medicare billing, Arkansas enrollment
- 439 clinicians in this Medicare group
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JONESBORO, AR 72405
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 Damon Kennedy's NPI number?
The NPI number for Damon Kennedy is 1992733224. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Damon Kennedy located?
Damon Kennedy practices at 4802 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (870) 936-8000.
What is Damon Kennedy's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Damon Kennedy enrolled in Medicare?
Yes. Damon 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.
Which organizations bill Medicare for Damon Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Damon Kennedy reassigns Medicare benefits to 2 organizations: Northeast Arkansas Clinic Charitable Foundation, Inc. (Jonesboro, AR) and Poudre Valley Medical Group, LLC (Loveland, CO). Each 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 Damon Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Damon Kennedy accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Damon Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Damon Kennedy was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Dr. Damon Mark Kennedy, DO · NPI 1992733224
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1992733224 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** E-18514 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4802 E JOHNSON AVE, Jonesboro, AR 72405-8413
- **Phone:** (870) 936-8000 · **Fax:** (870) 934-3628
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeast Arkansas Clinic Charitable Foundation, Inc. (NPI 1417721689, Jonesboro, AR); Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2000
## Record status
- **NPPES last updated:** January 22, 2025
- **Other identifiers:** Medicaid 68856750 (CO); Medicaid 10025839700 (NE)
---
Source: [NPI Profile](https://npiprofile.com/npi/1992733224) · Data from the CMS NPPES public registry.