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Derek Kennedy

NPI 1396088571ActiveIndividual· Emergency Medicine· Jamestown, NY

Emergency Medicine in Jamestown, New York, trained at Yale University School of Medicine (class of 2013). 318 Medicare patients in 2024, $43,224 paid; nearly all of their 394 Part D prescriptions were generic (93%).

Overview

NPI1396088571
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 5, 2013
Last updated in NPPESOct 6, 2023
Certified by providerOct 6, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000X292055NY
Emergency Medicine207P00000X70765AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (AZ); Practitioner - Emergency Medicine (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients318
Services billed361 across 15 procedure codes
Paid by Medicare$43,224

Part D prescriptions in 2024

Prescriptions (claims)394 · 396 30-day fills
Patients214
Total drug cost$6,279
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolYale University School of Medicine
Graduation year2013
Medicare specialtyEmergency Medicine

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other emergency medicine physicians in Jamestown

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