Mary Katherine Kenney, PA
NPI 1003299082ActiveIndividual· Physician Assistant, Medical· Decatur, IL
Physician Assistant, Medical (PA) with Memorial Physician Services, practicing in Decatur, Illinois. 315 Medicare patients in 2024, $34,067 paid; nearly all of their 407 Part D prescriptions were generic (96%). Lists Decatur Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1003299082 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 8, 2015 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 085005526 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 315 |
|---|---|
| Services billed | 444 across 33 procedure codes |
| Paid by Medicare | $34,067 |
Part D prescriptions in 2024
| Prescriptions (claims) | 407 · 411 30-day fills |
|---|---|
| Patients | 260 |
| Total drug cost | $4,451 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Memorial Physician ServicesChatham, IL · 165 clinicians
Hospital affiliations
- Decatur Memorial HospitalDecatur, IL
- St Marys HospitalDecatur, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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