Kenneth J. Kavanaugh, DO
NPI 1104819697ActiveIndividual· Family Medicine· Sandwich, IL
Family Medicine (DO) in Sandwich, Illinois, licensed in IL, with an NPI issued in August 2005. Part D covered 23 prescriptions written in 2024, 74% of them generic.
Overview
| NPI | 1104819697 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Aug 30, 2005 |
| Last updated in NPPES | Mar 2, 2021 |
| Certified by provider | Mar 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036077591 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Total drug cost | $1,067 |
| Generic share | 74% of claims |
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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