Doctor profile · Federal record

Dr. Kennedy Zaccheo, PA

Physician Assistant · Albuquerque, NM

  • NPI 1417538117
  • 5 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2100 Louisiana Blvd Ne Ste 410
Albuquerque, NM 871105412
(505) 724-4300
fax (505) 724-4300
Mailing address
265 Clarendon St Apt 4
Boston, MA 021162012

Credentials & registration

NPPES · NUCC
NPI registered
April 2021 — 5 yrs on file
Profile last updated
October 13, 2022
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New Mexico #PA2022-0056

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417538117. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
184
Distinct HCPCS
6
Medicare allowed
$5,919
HCPCS Description Services Patients Avg allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 93 28 $1
99213 Established patient office or other outpatient visit, 20-29 minutes 25 23 $73
73110 X-ray of wrist, minimum of 3 views 22 16 $32
20605 Aspiration and/or injection of fluid from medium joint 18 17 $43
99203 New patient office or other outpatient visit, 30-44 minutes 15 15 $91
25447 Removal of bone joints between wrist and fingers 11 11 $105

In context: peer comparison

Among 103 peers in this city , average services per provider: 77. This provider delivers 2.4× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kennedy Zaccheo's medical specialty?
Dr. Kennedy Zaccheo practices Physician Assistant in Albuquerque, NM.
Where does Dr. Kennedy Zaccheo practice?
Dr. Kennedy Zaccheo practices at 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 871105412. Office phone: 5057244300.
What is Dr. Kennedy Zaccheo's NPI?
Dr. Kennedy Zaccheo's National Provider Identifier (NPI) is 1417538117, issued by NPPES.
What procedures does Dr. Kennedy Zaccheo commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); X-ray of wrist, minimum of 3 views (HCPCS 73110). Source: CMS Medicare Physician & Other Practitioners file.