GREGORY A KIDWELL (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1285740696

GREGORY A KIDWELL (MD) is a healthcare provider. based in Dublin, Ohio. specializing in Clinical Cardiac Electrophysiology Physician. They hold the professional credentials MD. They hold a License No. 35047474 (OH). The NPI Number for GREGORY A KIDWELL (MD) is 1285740696

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY A KIDWELL (MD)
NPI
1285740696
Phone
Not provided
Address
5350 FRANTZ RD
Enumeration Date
21 August 2006
Last Update Date
25 February 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6142626722
Graduation Year
1979 (47 years ago)
PAC ID
4385557156
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20031210000215
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for GREGORY A KIDWELL (MD)

  • Frantz Road, Dublin, Franklin, Ohio, 43016, United States

    DUBLIN, OH 430164259

    Phone:

    Type: Mailing

  • 3705, Olentangy River Road, Olentangy West, Columbus, Sharon, Franklin, Ohio, 43214, United States

    SUITE 100

    COLUMBUS, OH 432143467

    Phone: (614) 262-6772

    Fax: (614) 447-2752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-10

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
I20031210000215ICardiovascular Disease (Cardiology)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43016)

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Provider's Procedures

GREGORY A KIDWELL (MD) performs procedures in Clinical Cardiac Electrophysiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report941688

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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

How is GREGORY A KIDWELL (MD) identified in CMS data?
CMS-hosted NPPES data lists GREGORY A KIDWELL (MD) with NPI 1285740696.
Can I rely on GREGORY A KIDWELL (MD) being an active provider?
As of the registry snapshot, GREGORY A KIDWELL (MD) is marked active.
What healthcare role does GREGORY A KIDWELL (MD) hold?
Scheduling teams often label GREGORY A KIDWELL (MD) under Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GREGORY A KIDWELL (MD)?
GREGORY A KIDWELL (MD)'s geographic hint is Dublin, Ohio in our summary view.
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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