DR. DAVID DALE III KIRKPATRICK (M.D.) – Surgery Physician, NPI 1619954021

DR. DAVID DALE III KIRKPATRICK (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 35053895 (OH). The NPI Number for DR. DAVID DALE III KIRKPATRICK (M.D.) is 1619954021

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID DALE III KIRKPATRICK (M.D.)
NPI
1619954021
Phone
(513) 542-6898
Address
1270 SOLUTIONS CENTER
Enumeration Date
28 December 2005
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
5138652246
Graduation Year
1981 (45 years ago)
PAC ID
6800075151
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20110119000884
Address ID
OH452424402MO10500RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 GENERAL SURGERY in OH

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Provider Addresses for DR. DAVID DALE III KIRKPATRICK (M.D.)

  • 1270 SOLUTIONS CENTER

    P.O. BOX 771270

    CHICAGO, IL 606771002

    Phone: (513) 542-6898

    Fax: (513) 542-7972

    Type: Mailing

  • Community Research, 7502, State Road, Cincinnati, Anderson Township, Hamilton County, Ohio, 45255, United States

    STE. 1180

    CINCINNATI, OH 452552800

    Phone: (513) 232-8181

    Fax: (513) 624-2956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Abbott Laboratories ($344).

Total Amount

$344

General + Research + Ownership

Payments

2

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$344
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: 2011-01-19

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
I20110119000884IGeneral SurgeryOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DAVID DALE III KIRKPATRICK (M.D.)?
DR. DAVID DALE III KIRKPATRICK (M.D.) — NPI 1619954021 — is the standard way to identify this listing.
Does CMS list DR. DAVID DALE III KIRKPATRICK (M.D.) as active?
Yes — DR. DAVID DALE III KIRKPATRICK (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. DAVID DALE III KIRKPATRICK (M.D.)?
For research purposes, treat DR. DAVID DALE III KIRKPATRICK (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID DALE III KIRKPATRICK (M.D.) serve?
DR. DAVID DALE III KIRKPATRICK (M.D.)'s listing highlights Chicago, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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