Ethan Kennedy, DO
NPI 1972679181 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Kennedy, DO is a Family Medicine Physician provider in Phoenix, AZ (NPI 1972679181).
Provider details
- NPI number
- 1972679181
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 3123 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,584 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 450 | $121 |
| Face-To-Face Behavioral Counseling for Obesity, 15 MinutesG0447 | 148 | $24 |
| Assessment of Emotional Or Behavioral Problems96127 | 145 | $4 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 137 | $3 |
| Advance Care Planning, First 30 Minutes99497 | 111 | $77 |
| Urinalysis, Manual Test81002 | 76 | $3 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 147 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 526 | 189 |
| Oxycodone Hcl | 505 | 73 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 385 | 113 |
| Metformin Hcl | 343 | 118 |
| Lisinopril | 339 | 128 |
| Levothyroxine Sodium | 258 | 93 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,152 across 54 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 8260 W Indian School Rd Ste 4Phoenix, AZ 85033-2980Phone: (623) 247-2300Fax: (623) 247-2300
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Frequently asked questions
- What is Ethan Kennedy's NPI number?
- Ethan Kennedy's National Provider Identifier (NPI) is 1972679181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Kennedy's specialty?
- Ethan Kennedy is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Kennedy located?
- Ethan Kennedy's practice location on file with NPPES is 10240 W Indian School Rd Ste 155, Phoenix, AZ 85037-5909.
- What is Ethan Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Ethan Kennedy is (623) 385-7900.
- Does Ethan Kennedy accept Medicare?
- Ethan Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Kennedy's NPI active?
- Yes — Ethan Kennedy's NPI (1972679181) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.