DR. KYLE GROOM (D.O.) – Family Medicine Physician, NPI 1063413656
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
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Provider Addresses for DR. KYLE GROOM (D.O.)
South Runnels Street, De Kalb, Bowie County, Texas, 75559, United States
DE KALB, TX 755592317
Phone: (903) 667-2273
Fax: (903) 667-7597
Type: Location
5904 Summerfield Dr
Texarkana, TX 755034306
Phone: (430) 200-4350
Fax: (833) 491-2722
Type: Location
De Kalb, Saint Lawrence County, New York, 13630, United States
DE KALB, TX 755591406
Phone: (903) 667-2273
Fax: (903) 667-7597
Type: Mailing
3002 Moores Ln
Texarkana, TX 755032204
Phone: (430) 200-4350
Fax: (833) 491-2722
Type: Location
216 N CENTRE ST
DE KALB, TX 755591406
Phone: (903) 667-2273
Fax: (903) 667-7597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $532.
Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($128).
Total Amount
$532
General + Research + Ownership
Payments
28
Total payment records
General Amount
$532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $128 |
| ABBVIE INC. | $102 |
| PFIZER INC. | $83 |
| Novo Nordisk Inc | $80 |
| Abbott Laboratories | $48 |
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: 2020-06-29
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 |
|---|---|---|---|---|
| I20040330001205 | I | Emergency Medicine | TX | TBD |
| I20200629002097 | I | Emergency Medicine | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,755 | 395 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 681 | 95 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 480 | 54 | $0 |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 324 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 173 | $0 |
Insurance plans in this area (ZIP 75559)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | TX | 85610 | Blood test, clotting time | 51 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | AR | |
| - | AR | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice, Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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