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Justin Michael Kennedy, PA-C

NPI 1528415767ActiveIndividual· Physician Assistant· Grapevine, TX

Physician Assistant (PA-C) in Grapevine, Texas, licensed in TX, with an NPI issued in May 2016. Their prescriptions cost Medicare Part D more than their services did: $8,678 for 278 claims, against $3,763 paid for services in 2024. Davol Inc. was the largest of 2 companies reporting payments in 2024, $105.81 in all, mostly food and beverage.

Overview

NPI1528415767
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 18, 2016
Last updated in NPPESDec 4, 2025
Certified by providerDec 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XP9256TX
Physician Assistant, Medical363AM0700X——

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 - Physician Assistant (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients65
Services billed66 across 3 procedure codes
Paid by Medicare$3,763

Part D prescriptions in 2024

Prescriptions (claims)278 · 284 30-day fills
Patients131
Total drug cost$8,678
Generic share88% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$105.81 · 2 payments from 2 companies

Top paying companies in 2024

CompanyAmountPayments
Davol Inc.$85.871
Abiomed$19.941

What the 2024 payments were for

  • Food and Beverage$105.81 · 2 payments

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

Other Physician Assistant providers in Grapevine

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