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Deactivated NPI 1760474290 Deactivated / Inactive NPI Male Practitioner

Dr. Peter James Kennedy , DC

Chiropractor • Monticello, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date December 03, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kennedy, DC was a registered Chiropractor practicing in Monticello, IA. Throughout an active medical career spanning 15 years, Dr. Kennedy provided care at the practice location at 325 E 1ST ST until profile deactivation on 2020-12-03.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

325 E 1st St

Monticello, IA 52310

Telephone 3194653547
Fax 3194653547

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Monticello, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Monticello, IA (2109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
261 61 $50.00 $37.72
98940 Chiropractic manipulative treatment, 1-2 spinal regions
22 15 $50.00 $26.19

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 4728

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 03, 2020

Record deactivated on December 03, 2020

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 325 E 1ST ST, MONTICELLO, IA 52310 (Tel: 3194653547)

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Updated Business Mailing Address October 19, 2007

Registered at 325 E 1ST ST, MONTICELLO, IA 52310 (Tel: 3194653547)

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Provider Name / Credentials Updated October 19, 2007

Recorded as PETER KENNEDY, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Chiropractor (License #4728 in IA)

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Initial NPI Registration & Enumeration August 19, 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: 1760474290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: October 19, 2007
Deactivation Date: December 03, 2020

Mailing Address

325 E 1st St

Monticello, IA 52310

Phone: 3194653547

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.