Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Maryann Kenneson, MD

Individual provider Urology Physician · NPI 1790011062

Mrs. Maryann Kenneson, MD practises Urology in Orange Park, Florida. Graduated from University of Kentucky College of Medicine in 2003, 23 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Ohio.

Years since qualifying
23
Trained at
University of Kentucky College of Medicine
Licensed in
FL, OH
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410
Phone: (904) 644-8353
Fax: (904) 644-8289
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME92864 (FL)
Urology Physician Taxonomy 208800000X · Licence 35098042 (OH)

Record details

NPI number1790011062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESFebruary 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Prostate resection 22 times · 82nd percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients531
Services billed 4,742 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Travel and Lodging $1,955 7 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $1,668 55 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Baptist Health Medical Center - Jacksonville Hospital · Jacksonville, FL · listed as Dastagir a Khan MD, PA
  • Ascension St Vincent'S Clay County Hospital · Middleburg, FL
  • Ascension St Vincent'S Riverside Hospital · Jacksonville, FL
  • Ascension St Vincent'S St Johns County Hospital · St. Johns, FL
  • Hca Florida Orange Park Hospital Hospital · Orange Park, FL

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at St Vincent's Ambulatory Care Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 302 clinicians in the practice; 12 are shown here.

Other providers in Orange Park