DR. KENDALL EDWARD II CARLL (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1063596997

DR. KENDALL EDWARD II CARLL (M.D.) is a healthcare provider. based in Addison, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. TRN6843 (FL). The NPI Number for DR. KENDALL EDWARD II CARLL (M.D.) is 1063596997

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENDALL EDWARD II CARLL (M.D.)
NPI
1063596997
Phone
(214) 370-3535
Address
17051 Dallas Pkwy Ste 400
Enumeration Date
25 October 2006
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4699982273
Graduation Year
2003 (23 years ago)
PAC ID
2365507381
Group Practice PAC ID
8527328772
Professional Enrollment ID
I20090206000534
Address ID
TX750254013PL8080XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for DR. KENDALL EDWARD II CARLL (M.D.)

  • 17051 Dallas Pkwy Ste 400

    Suite 400

    Addison, TX 750017101

    Phone: (214) 370-3535

    Fax: (214) 370-0004

    Type: Location

  • Independence Parkway, Plano, Collin County, Texas, 75023, United States

    PLANO, TX 750254013

    Phone: (469) 998-2273

    Fax: (469) 998-2272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $71,306.

Total Amount is formed as General ($71,306) + Research ($0) + Ownership ($0) = $71,306.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Fuse Medical, Inc. ($62,500).

Total Amount

$71,306

General + Research + Ownership

Payments

12

Total payment records

General Amount

$71,306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-02-06

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
I20090206000534IOrthopedic SurgeryTXTBD

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 75001)

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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: 8527328772View full group profile
NameSpecialtyState
Physician AssistantTX

Reviews

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Frequently asked questions

How do payers reference DR. KENDALL EDWARD II CARLL (M.D.)?
For DR. KENDALL EDWARD II CARLL (M.D.), use NPI 1063596997 as the unique 10-digit identifier.
Would DR. KENDALL EDWARD II CARLL (M.D.) appear as active to a payer?
You can treat DR. KENDALL EDWARD II CARLL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KENDALL EDWARD II CARLL (M.D.)?
DR. KENDALL EDWARD II CARLL (M.D.)'s specialty line reads Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENDALL EDWARD II CARLL (M.D.) located near Addison?
DR. KENDALL EDWARD II CARLL (M.D.) currently maps to Addison, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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