DR. KEVIN MICHAEL DWYER (M.D. FACS) – Surgical Critical Care Physician, NPI 1417923210

DR. KEVIN MICHAEL DWYER (M.D. FACS) is a healthcare provider. based in Stamford, Connecticut. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D. FACS. They hold a License No. 46891 (CT). The NPI Number for DR. KEVIN MICHAEL DWYER (M.D. FACS) is 1417923210

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN MICHAEL DWYER (M.D. FACS)
NPI
1417923210
Phone
(203) 276-7467
Address
30 SHELBURNE RD
Enumeration Date
23 February 2006
Last Update Date
21 December 2015

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2032764644
Graduation Year
1984 (42 years ago)
PAC ID
4183788987
Group Practice PAC ID
6901099746
Professional Enrollment ID
I20090122000468
Address ID
CT069051326ST5XXXXPARK402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

525 GENERAL SURGERY in CT

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Provider Addresses for DR. KEVIN MICHAEL DWYER (M.D. FACS)

  • 30, Shelburne Road, Stamford, Fairfield County, Connecticut, 06902, United States

    TRAUMA SERVICES

    STAMFORD, CT 069023628

    Phone: (203) 276-7467

    Fax: (203) 276-7020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,281.

Total Amount is formed as General ($1,281) + Research ($0) + Ownership ($0) = $1,281.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Kerecis Limited ($409).

Total Amount

$1,281

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090122000468ICritical Care (Intensivists)CTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10956$0
99291Critical care, first 30-74 minutes4421$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4342$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2315$0
99238Hospital discharge day management, 30 minutes or less2019$0
View full utilization report →

Insurance plans in this area (ZIP 06902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901099746View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCT
Physician AssistantCT
Family PracticeCT
Physician AssistantCT
P S Y C H I A T R YCT
O B S T E T R I C S/ G Y N E C O L O G YCT
O B S T E T R I C S/ G Y N E C O L O G YCT
Physician AssistantCT
Internal MedicineNY
Nurse PractitionerCT

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Frequently asked questions

Does DR. KEVIN MICHAEL DWYER (M.D. FACS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KEVIN MICHAEL DWYER (M.D. FACS) uses 1417923210.
Does CMS list DR. KEVIN MICHAEL DWYER (M.D. FACS) as active?
Yes — DR. KEVIN MICHAEL DWYER (M.D. FACS) is active in the NPI listing used on this page.
What taxonomy line describes DR. KEVIN MICHAEL DWYER (M.D. FACS)?
For research purposes, treat DR. KEVIN MICHAEL DWYER (M.D. FACS) as Surgical Critical Care Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN MICHAEL DWYER (M.D. FACS)?
DR. KEVIN MICHAEL DWYER (M.D. FACS)'s geographic hint is Stamford, Connecticut in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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