Active NPI 1770679730 Individual Practitioner Male Practitioner

Dr. James Fx Kenealy , MD

Specialist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Kenealy, MD is a certified Specialist practicing in Worcester, MA. With approximately 40 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1986, Dr. Kenealy delivers high-quality medical care to the local community at 123 SUMMER ST STE 300.

Dr. Kenealy is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, professional service for multiple injections of allergen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St Ste 300

Worcester, MA 016081216

Telephone 5083683103

Fax 5083683104

Associated Practice Facility / Clinic

🏢 Reliant Medical Group, Inc Facility NPI 1184812620

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs -5.8 yrs vs City Avg

City Avg: 45.8 Yrs

State Avg: 37.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Worcester, MA (1181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kenealy (40 Years) 40 Yrs

Worcester Specialty Average (45.8 Years) 45.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$455.00	$167.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	82	$313.00	$129.67
99213 Established patient office or other outpatient visit, typically 15 minutes	59	47	$211.00	$92.05
95117 Professional service for multiple injections of allergen	56	21	$48.00	$12.75
69210 Removal of impacted ear wax	48	40	$140.00	$42.83
31231 Diagnostic examination of nasal passages using an endoscope	43	41	$540.00	$192.43
31575 Diagnostic exam of voice box using a flexible endoscope	30	29	$335.00	$132.04
92567 Eardrum testing using ear probe	20	20	$42.00	$16.61
92557 Comprehensive hearing and speech recognition test	18	18	$105.00	$36.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$305.00	$112.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	89	$313.00	$128.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$455.00	$168.31
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$211.00	$91.30
69210 Removal of impacted ear wax	48	40	$140.00	$46.32
31575 Diagnostic exam of voice box using a flexible endoscope	43	41	$335.00	$135.72
31231 Diagnostic examination of nasal passages using an endoscope	35	35	$540.00	$199.35
95117 Professional service for multiple injections of allergen	32	15	$48.00	$12.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$305.00	$109.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	93	$313.00	$132.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$454.24	$171.49
69210 Removal of impacted ear wax	67	54	$140.00	$45.49
31575 Diagnostic exam of voice box using a flexible endoscope	54	49	$334.44	$137.67
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$211.00	$93.51
31231 Diagnostic examination of nasal passages using an endoscope	45	43	$540.00	$199.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$303.67	$116.66
95117 Professional service for multiple injections of allergen	29	15	$48.00	$12.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	67	$313.00	$135.79
99213 Established patient office or other outpatient visit, typically 15 minutes	80	59	$211.00	$95.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$289.00	$116.06
69210 Removal of impacted ear wax	71	52	$140.00	$47.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$445.00	$175.36
31575 Diagnostic exam of voice box using a flexible endoscope	48	43	$320.00	$135.14
95117 Professional service for multiple injections of allergen	29	13	$48.00	$12.14
31231 Diagnostic examination of nasal passages using an endoscope	22	22	$540.00	$211.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$289.37	$111.22
99213 Established patient office or other outpatient visit, typically 15 minutes	80	64	$211.00	$78.45
69210 Removal of impacted ear wax	74	60	$140.00	$47.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	62	$313.00	$114.53
95117 Professional service for multiple injections of allergen	21	15	$48.00	$11.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$437.00	$172.88
31575 Diagnostic exam of voice box using a flexible endoscope	18	16	$304.00	$131.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$289.25	$112.46
99213 Established patient office or other outpatient visit, typically 15 minutes	118	89	$211.00	$77.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$313.00	$113.27
69210 Removal of impacted ear wax	48	40	$140.00	$46.63
31575 Diagnostic exam of voice box using a flexible endoscope	37	34	$304.00	$119.76
31231 Diagnostic examination of nasal passages using an endoscope	28	28	$540.00	$213.43
36415 Insertion of needle into vein for collection of blood sample	16	15	$18.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	173	173	$275.00	$106.94
99213 Established patient office or other outpatient visit, typically 15 minutes	143	103	$201.00	$73.60
69210 Removal of impacted ear wax	62	52	$120.00	$48.09
31575 Diagnostic exam of voice box using a flexible endoscope	59	51	$304.00	$111.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$298.00	$105.25
31231 Diagnostic examination of nasal passages using an endoscope	14	14	$516.00	$207.01
36415 Insertion of needle into vein for collection of blood sample	13	13	$18.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$270.00	$108.10
99213 Established patient office or other outpatient visit, typically 15 minutes	152	121	$186.51	$73.26
69210 Removal of impacted ear wax	82	70	$105.37	$47.20
31575 Diagnostic exam of voice box using a flexible endoscope	68	63	$304.00	$115.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$275.38	$106.57
31231 Diagnostic examination of nasal passages using an endoscope	16	16	$516.00	$213.84

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 74266

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3087514 (MA)

Commercial Insurance / Payer ID Fallon Direct/select

54857 (MA)

Commercial Insurance / Payer ID Ushc

61683 (MA)

Commercial Insurance / Payer ID Tufts

074266 (MA)

Commercial Insurance / Payer ID United Healthcare

1000006 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Mwmc Ipa

19143 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Milf Ipa

19551 (MA)

Commercial Insurance / Payer ID Neighborhood Health

0017055 (MA)

Commercial Insurance / Payer ID Childrens Medical Sec

23504 (MA)

Commercial Insurance / Payer ID Travelers Medicare

040004967 (MA)

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Anjali Mehta , MD

Otolaryngology

NPI 1043343429

Doctor of Medicine (M.D.)

Meredith Leone , PA-C

Physician Assistant

NPI 1073848560

Physician Assistant (Certified)

Dr. Michael Dybka , PhD

Audiologist

NPI 1164598314

Doctor of Philosophy (Ph.D.)

Dr. Jason Kass , MD, PhD

Otolaryngology

NPI 1194957589

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Robin Braveman , CCC A

Speech-Language Pathologist

NPI 1508848581

CCCA

Katelyn Wasgatt , CCC-A

Audiologist

NPI 1538505383

CCCA

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2017

Registered at 123 SUMMER ST STE 300, WORCESTER, MA 016081216 (Tel: 5083683103)

📍

Updated Business Mailing Address August 14, 2017

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: (508) 368-3103)

👤

Provider Name / Credentials Updated August 14, 2017

Recorded as JAMES KENEALY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Specialist (License #74266 in MA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 61 LINCOLN ST, SUITE 207, FRAMINGHAM, MA 017028264 (Tel: 5088756124)

📍

Updated Business Mailing Address July 08, 2007

Registered at 61 LINCOLN ST, SUITE 207, FRAMINGHAM, MA 017028264 (Tel: 5088756124)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES KENEALY, MD

🎓

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

Specialist (License #74266 in MA)

🟢

Initial NPI Registration & Enumeration October 05, 2006

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: 1770679730

Entity Type:

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

Enumeration Date: October 05, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 016052038

Phone: 5083683103

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.