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Kenneth James Minielly, M.D.

NPI 1699125062ActiveIndividual· Dermatology· Springfield, IL

Dermatology (M.D.) in Springfield, Illinois, trained at Southern Illinois University School of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $2,200,484 for 1,957 claims, against $349,834 paid for services in 2024. Galderma Laboratories, L.P. was the largest of 17 companies reporting payments in 2025, $1,403 in all, mostly food and beverage.

Overview

NPI1699125062
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 16, 2016
Last updated in NPPESJun 16, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X125-068691IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Dermatology (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,603
Services billed9,051 across 64 procedure codes
Paid by Medicare$349,834

Part D prescriptions in 2024

Prescriptions (claims)1,957 · 2,279 30-day fills
Patients699
Total drug cost$2,200,484
Generic share85% of claims

Medicare sources and data years

Education and affiliations

Medical schoolSouthern Illinois University School of Medicine
Graduation year2020
Medicare specialtyDermatology

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,403 · 69 payments from 17 companies
  • 2024$1,609 · 71 payments from 18 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,403 · 69 payments

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

Other Dermatology providers in Springfield

All Dermatology providers in Illinois →