Doctor profile · Federal record
Dr. Ethan Kennedy, DO
Family Medicine Physician (CMS: Family Practice) · Phoenix, AZ
- NPI 1972679181
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10240 W Indian School RD Ste 155
Phoenix, AZ 850375909
(623) 385-7900
fax (623) 440-4360 - Additional location
-
8260 W Indian School RD Ste 4
Phoenix, AZ 850332980
(623) 247-2300
fax (623) 247-2300
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- December 20, 2023
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Arizona #3123
- Medicaid
- AZ #452673
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972679181. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,676
Distinct HCPCS
10
Medicare allowed
$100,576
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 506 | 177 | $120 | |
96127 |
Assessment of emotional or behavioral problems | 141 | 66 | $4 | |
82962 |
Blood glucose (sugar) test performed by hand-held instrument | 126 | 71 | $3 | |
99497 |
Advance care planning, first 30 minutes | 116 | 95 | $80 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 72 | 35 | $21 | |
81002 |
Urinalysis, manual test | 70 | 42 | $3 | |
96372 |
Injection of drug or substance under skin or into muscle | 69 | 28 | $14 | |
G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes | 69 | 42 | $24 | |
36415 |
Insertion of needle into vein for collection of blood sample | 66 | 46 | $5 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $125 |
In context: peer comparison
Among 141 peers in this city , average services per provider: 121. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$1,152
Transactions
50
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US Inc | 8 | $237.39 | |
| AstraZeneca Pharmaceuticals LP | 6 | $177.53 | |
| Lilly USA, LLC | 10 | $137.88 | |
| Almatica Pharma LLC | 6 | $119.04 | |
| ABBVIE INC. | 5 | $104.61 | |
| SANOFI-AVENTIS U.S. LLC | 2 | $40.49 | |
| GlaxoSmithKline, LLC. | 2 | $37.96 | |
| Verity Pharmaceuticals Inc. | 2 | $36.31 | |
| SCILEX PHARMACEUTICALS INC. | 2 | $32.03 | |
| Lundbeck LLC | 2 | $31.04 | |
| Novo Nordisk Inc | 1 | $29.28 | |
| Biogen, Inc. | 1 | $27.44 | |
| Ardelyx, Inc. | 1 | $24.85 | |
| AIMMUNE THERAPEUTICS, INC. | 1 | $24.32 | |
| Merck Sharp & Dohme LLC | 1 | $21.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,402
Patients
1,195
Total drug cost
$52,273
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 515 | 79 | $12,300 |
| Atorvastatin Calcium | Generic | 398 | 163 | $4,665 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 279 | 95 | $7,414 |
| Metformin Hcl | Generic | 250 | 99 | $2,780 |
| Lisinopril | Generic | 245 | 85 | $1,863 |
| Gabapentin | Generic | 223 | 83 | $5,663 |
| Amlodipine Besylate | Generic | 215 | 75 | $1,222 |
| Levothyroxine Sodium | Generic | 195 | 81 | $4,112 |
| Ibuprofen | Generic | 186 | 80 | $2,882 |
| Losartan Potassium | Generic | 173 | 65 | $1,931 |
Frequently asked questions
What is Dr. Ethan Kennedy's medical specialty?
Dr. Ethan Kennedy practices Family Medicine Physician in Phoenix, AZ.
Where does Dr. Ethan Kennedy practice?
Dr. Ethan Kennedy practices at 10240 W Indian School RD Ste 155, Phoenix, AZ 850375909. Office phone: 6233857900.
What is Dr. Ethan Kennedy's NPI?
Dr. Ethan Kennedy's National Provider Identifier (NPI) is 1972679181, issued by NPPES.
Does Dr. Ethan Kennedy accept Medicare assignment?
Yes. Dr. Ethan Kennedy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethan Kennedy commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Assessment of emotional or behavioral problems (HCPCS 96127); Blood glucose (sugar) test performed by hand-held instrument (HCPCS 82962). Source: CMS Medicare Physician & Other Practitioners file.