Kellen Thomas Bannon
NPI 1649535279ActiveIndividual· Emergency Medicine· Toledo, OH
Emergency Medicine in Toledo, Ohio, trained at West Virginia School of Osteopathic Medicine (class of 2012). 342 Medicare patients in 2024, $42,619 paid; nearly all of their 289 Part D prescriptions were generic (95%). Ultragenyx Pharmaceutical Inc. reported $17.68 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1649535279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2012 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 2855 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Emergency Medicine (AL); Practitioner - Emergency Medicine (KY); Practitioner - Emergency Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 342 |
|---|---|
| Services billed | 394 across 17 procedure codes |
| Paid by Medicare | $42,619 |
Part D prescriptions in 2024
| Prescriptions (claims) | 289 · 289 30-day fills |
|---|---|
| Patients | 196 |
| Total drug cost | $4,068 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | West Virginia School of Osteopathic Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
- Emergency Coverage LLCRichmond, VA · 775 clinicians
Hospital affiliations
- Cumberland Medical CenterCrossville, TN
- Fort Sanders Regional Medical CenterKnoxville, TN
- Leconte Medical CenterSevierville, TN
- Morristown Hamblen Hospital AssociationMorristown, TN
- Starr Regional Medical Center AthensAthens, TN
Industry payments (Open Payments)
- 2025$17.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultragenyx Pharmaceutical Inc. | $17.68 | 1 |
What the 2025 payments were for
- Food and Beverage$17.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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