Subject Numbers Regarding Health Provider Authorizations

Authorization No. C07367-8W

September 9, 2019

Pursuant to Workers' Compensation Law Sections 13-d(4) and 13-l(12), the Chair of the New York State Workers' Compensation Board has exercised her authority to temporarily suspend Dr. John Charles Kavanaugh’s authorization to treat injured workers within the New York State workers’ compensation system effective September 6, 2019. Dr. Kavanaugh's last known business address is:

31 Accabonac Road
East Hampton, New York 11937

The Chair’s designee’s investigation has revealed that the New York State Education Department, Office of Professional Discipline, State Board for Chiropractic has issued Consent Order #31079, wherein Dr. Kavanaugh did not contest the specification of professional misconduct, that he failed to maintain a record for a patient that accurately reflected the evaluation and treatment of the patient.

Therefore, the Chair believes that Dr. Kavanaugh may be guilty of misconduct as described in Education Law §6509(9) and Rules of the Board of Regents (8NYCRR) §29.2(a)(3), and that such misconduct would detrimentally affect the quality of care provided to injured workers.

Dr. Kavanaugh is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a) while his authorization is temporarily suspended. Reports submitted by Dr. Kavanaugh for services rendered prior to September 6, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Kavanaugh for services rendered prior to September 6, 2019, should not be denied due to the suspension of his authorization.

This suspension remains in effect until further notice. Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.