KEVIN C FILLMORE (MD) – Diagnostic Radiology Physician, NPI 1124295993

KEVIN C FILLMORE (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD433621 (PA). The NPI Number for KEVIN C FILLMORE (MD) is 1124295993

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN C FILLMORE (MD)
NPI
1124295993
Phone
(800) 666-1816
Address
PO BOX 830624
Enumeration Date
12 May 2008
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2159185500
Graduation Year
2002 (24 years ago)
PAC ID
8022180728
Group Practice PAC ID
4587555099
Professional Enrollment ID
I20080711000175
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,563 DIAGNOSTIC RADIOLOGY in PA

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Provider Addresses for KEVIN C FILLMORE (MD)

  • PO BOX 830624

    PHILADELPHIA, PA 191820624

    Phone: (800) 666-1816

    Fax: (706) 653-0615

    Type: Mailing

  • PO BOX 892

    CONCORDVILLE, PA 193310892

    Phone: (610) 372-4957

    Fax: (610) 372-3117

    Type: Mailing

  • Doylestown Hospital, 595, West State Street, Doylestown Township, Bucks County, Pennsylvania, 18901, United States

    DOYLESTOWN, PA 189012554

    Phone: (215) 345-2290

    Fax: (215) 345-2596

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $479.

Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($479).

Total Amount

$479

General + Research + Ownership

Payments

21

Total payment records

General Amount

$479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$479
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: 2008-07-11

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
I20080711000175IDiagnostic RadiologyPATBD

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
77080Dxa bone density measurement of hip, pelvis, spine344344$0
71046X-ray of chest, 2 views310301$0
77063Screening 3d breast mammography292292$0
77067Screening mammography291291$0
71045X-ray of chest, 1 view239203$0
View full utilization report →

Insurance plans in this area (ZIP 19182)

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Provider's Procedures

KEVIN C FILLMORE (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYPA71010X-ray of chest, 1 view, front259213
DIAGNOSTIC RADIOLOGYPA71250CT scan chest2927
DIAGNOSTIC RADIOLOGYPA73630X-ray of foot, minimum of 3 views4036
DIAGNOSTIC RADIOLOGYPA74177CT scan of abdomen and pelvis with contrast103101
DIAGNOSTIC RADIOLOGYPA76830Ultrasound pelvis through vagina1515
DIAGNOSTIC RADIOLOGYPA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers7271

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: 4587555099View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyPA
Diagnostic RadiologyPA
Diagnostic RadiologyPA
Diagnostic RadiologyPA
-PA
Diagnostic RadiologyCT
Diagnostic RadiologyPA
Physician AssistantPA
Interventional Radiology, Diagnostic RadiologyPA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

How do payers reference KEVIN C FILLMORE (MD)?
For KEVIN C FILLMORE (MD), use NPI 1124295993 as the unique 10-digit identifier.
Would KEVIN C FILLMORE (MD) appear as active to a payer?
You can treat KEVIN C FILLMORE (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KEVIN C FILLMORE (MD)?
KEVIN C FILLMORE (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN C FILLMORE (MD)?
Travel planning: use Philadelphia, Pennsylvania as the reference point for KEVIN C FILLMORE (MD), then confirm.
Can I trust this NPI listing for KEVIN C FILLMORE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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