KEVIN BRADBURY OOTHOUT (M.D.) – Emergency Medicine Physician, NPI 1538107206

KEVIN BRADBURY OOTHOUT (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD024636 (TN). The NPI Number for KEVIN BRADBURY OOTHOUT (M.D.) is 1538107206

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BRADBURY OOTHOUT (M.D.)
NPI
1538107206
Phone
Not provided
Address
PO BOX 634706
Enumeration Date
3 June 2006
Last Update Date
12 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9317286354
Graduation Year
1991 (35 years ago)
PAC ID
0042298200
Group Practice PAC ID
4082671235
Professional Enrollment ID
I20040713000844
Address ID
TN373553108MA481XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

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Provider Addresses for KEVIN BRADBURY OOTHOUT (M.D.)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452630001

    Phone:

    Type: Mailing

  • TriStar Southern Hills Medical Center, 391, Wallace Road, Providence, Nashville, Davidson County, Tennessee, 37211, United States

    NASHVILLE, TN 372114851

    Phone: (615) 781-4605

    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: 2022-08-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040713000844IEmergency MedicineTNTBD
I20220805002540IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making117116$0
99284Emergency department visit with moderate level of medical decision making9795$0
99283Emergency department visit with low level of medical decision making2726$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2020$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 4082671235View full group profile
NameSpecialtyState
Emergency MedicineMS
Nurse PractitionerTN
Emergency MedicinePA
Emergency MedicineAL
Family Practice, Emergency MedicineTN
-TN
Emergency Medicine, Internal MedicineTN
Emergency MedicineOH
Emergency MedicineAL
Emergency MedicineMS

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Frequently asked questions

What identifier follows KEVIN BRADBURY OOTHOUT (M.D.) across health systems?
The NPI 1538107206 uniquely identifies KEVIN BRADBURY OOTHOUT (M.D.) in U.S. healthcare data.
Is KEVIN BRADBURY OOTHOUT (M.D.)'s NPI status active today?
Active status means KEVIN BRADBURY OOTHOUT (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say KEVIN BRADBURY OOTHOUT (M.D.) does?
Insurance directories may phrase it differently, but here KEVIN BRADBURY OOTHOUT (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN BRADBURY OOTHOUT (M.D.)?
KEVIN BRADBURY OOTHOUT (M.D.) is associated with Cincinnati, Ohio in the same public data insurers reference.
Why is information missing for KEVIN BRADBURY OOTHOUT (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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