DR. DAVID DALE III KIRKPATRICK (M.D.) – Surgery Physician, NPI 1619954021
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Abbott Laboratories | $344 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110119000884 | I | General Surgery | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Radiation Oncology | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | CO | |
| H O S P I T A L I S T | IL | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH |
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