Active NPI 1275526386 Individual Practitioner Male Practitioner

Dr. John Sargent Kennedy , MD

Surgery • Decatur, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Kennedy, MD is a certified Surgery practicing in Decatur, GA. With approximately 44 years of clinical experience since graduating from Temple University School Of Medicine in 1982, Dr. Kennedy delivers high-quality medical care to the local community at 2665 N DECATUR RD.

Dr. Kennedy is affiliated with Northside Surgical Professional Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2665 N Decatur Rd
Suite 730

Decatur, GA 300336149

Telephone 4045084320

Fax 4045084112

Associated Practice Facility / Clinic

🏢 Pulmonary & Sleep Specialists, Pc Facility NPI 1134121031

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Decatur, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +19.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

23 Specialists

Practicing in Decatur, GA (1046 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennedy (44 Years) 44 Yrs

Decatur Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	81	$215.48	$88.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$135.00	$55.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$405.00	$164.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$265.00	$106.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$515.00	$217.42
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$215.00	$71.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$111.00	$48.39
76536 Ultrasound of head and neck	15	15	$260.00	$108.20
60500 Removal or exploration of parathyroid glands	14	14	$3489.29	$910.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$300.00	$126.19
76642 Limited ultrasound scan of 1 breast	11	11	$267.27	$87.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	66	$212.50	$90.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$132.86	$56.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$261.15	$112.17
76536 Ultrasound of head and neck	20	17	$260.00	$112.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$402.65	$166.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$297.67	$117.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$507.00	$219.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$466.00	$172.86
60500 Removal or exploration of parathyroid glands	11	11	$3700.00	$979.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	66	$201.31	$90.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$128.25	$56.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$400.00	$166.88
76536 Ultrasound of head and neck	22	22	$260.00	$105.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$160.00	$69.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$498.64	$213.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$440.00	$194.78
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$215.00	$72.95
19301 Partial removal of breast	15	12	$1926.67	$710.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$112.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	73	$158.79	$91.46
76536 Ultrasound of head and neck	30	29	$260.00	$115.91
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$215.00	$73.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$119.41	$56.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$250.40	$113.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$478.91	$214.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.00	$162.23
76642 Limited ultrasound scan of 1 breast	18	16	$241.11	$89.38
60500 Removal or exploration of parathyroid glands	17	17	$3700.00	$942.28
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$2200.00	$587.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$241.25	$130.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	76	$145.00	$76.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	46	$112.61	$46.41
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$180.00	$77.49
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	20	18	$2200.00	$623.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$249.50	$108.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$160.00	$73.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$214.12	$110.78
76536 Ultrasound of head and neck	16	16	$250.63	$118.19
60500 Removal or exploration of parathyroid glands	14	14	$3700.00	$1010.90
19301 Partial removal of breast	13	11	$1700.00	$663.45
76642 Limited ultrasound scan of 1 breast	13	11	$220.38	$89.74
76998 Ultrasonic guidance during surgery	12	12	$650.00	$65.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$450.00	$211.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$429.09	$206.59
38900 Lymph node imaging during surgery	11	11	$383.18	$146.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	91	$138.87	$74.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	46	$111.25	$45.28
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$176.48	$75.89
76536 Ultrasound of head and neck	28	27	$240.36	$115.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$450.00	$207.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$210.00	$108.80
60500 Removal or exploration of parathyroid glands	16	16	$3700.00	$998.71
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	16	16	$2200.00	$639.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	14	$400.00	$56.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$240.00	$108.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$400.00	$165.37
49505 Repair of groin hernia (5 years or older)	13	13	$1961.54	$623.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	88	$130.93	$71.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	56	$99.68	$42.72
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$176.47	$73.08
76536 Ultrasound of head and neck	29	29	$226.72	$113.92
60500 Removal or exploration of parathyroid glands	27	27	$3700.00	$961.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$450.00	$201.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$240.00	$105.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	17	$400.00	$58.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$210.00	$100.79
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	16	15	$2200.00	$655.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$400.00	$160.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$387.14	$197.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	104	$130.77	$73.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	66	$92.30	$43.55
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$175.00	$74.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$406.25	$200.29
76536 Ultrasound of head and neck	24	23	$225.00	$107.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$210.00	$103.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$375.00	$202.63
60500 Removal or exploration of parathyroid glands	18	18	$3535.56	$932.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$400.00	$163.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$240.00	$108.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	13	$2200.00	$673.49

Medical Specialties & State Licenses

CMS Verified: 2025-01-15

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 25193

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00280167C (GA)

Hospital & Practice Group Affiliations

Northside Surgical Professional Services Llc

1462 Montreal Rd, Tucker, GA 300846924

Phone: 4045084320

Northside Surgical Professional Services Llc

1000 Johnson Ferry Ne, Atlanta, GA 303421606

Northside Surgical Professional Services Llc

2701 N Decatur Rd, Decatur, GA 300335918

Phone: 4045015630

Northside Surgical Professional Services Llc

1000 Johnson Ferrry Rd Ne, Atlanta, GA 303421606

Phone: 4048518000

Secondary Practice Locations

1462 Montreal Rd Ste 303

Tucker, GA 300846924

Phone: 4045084320

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Ashleigh Ross , DO

Surgery

NPI 1215382809

Doctor of Osteopathic Medicine (D.O.)

Dr. Andrei Stieber , MD

Surgery

NPI 1235194101

Doctor of Medicine (M.D.)

Dr. David Fern , MD

Specialist

NPI 1265425581

Doctor of Medicine (M.D.)

Dr. Michael Champney , MD

Surgery

NPI 1386637403

Doctor of Medicine (M.D.)

Dr. Michael Cornwell , MD

Specialist

NPI 1396738613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2025

Surgery (License #25193 in GA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2665 N DECATUR RD, SUITE 730, DECATUR, GA 300336149 (Tel: 4045084320)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2665 N DECATUR RD, SUITE 730, DECATUR, GA 300336149 (Tel: 4045084320)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KENNEDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25193 in GA)

🟢

Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275526386

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2005

Last Update: January 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2665 N Decatur Rd, Suite 730

Decatur, GA 300336149

Phone: 4045084320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.