KEVIN Y PEI (M.D.) – Surgical Critical Care Physician, NPI 1114125168
Surgical Critical Care Physician
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Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
Provider Addresses for KEVIN Y PEI (M.D.)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-8210
Type: Mailing
2231 Carew St
Fort Wayne, IN 468054713
Phone: (260) 266-8900
Fax: (260) 266-8935
Type: Location
330 Cedar St # Bb310
New Haven, CT 065103218
Phone: (203) 785-2572
Fax: (203) 785-3950
Type: Location
500 W Medical Center Blvd
Webster, TX 775984220
Phone: (806) 241-8162
Type: Location
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451715
Phone: (260) 266-8900
Fax: (260) 266-8935
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Fax: (254) 215-9722
Type: Mailing
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 778456441
Phone: (979) 207-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $2,154.
Total Amount is formed as General ($2,154) + Research ($0) + Ownership ($0) = $2,154.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,426).
Total Amount
$2,154
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,426 |
| Medical Device Business Services, Inc. | $619 |
| Medtronic, Inc. | $110 |
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: 2024-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180807000574 | I | General Surgery | TX | TBD |
| I20241218000169 | I | General Surgery | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | TX | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
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