DR. DAVID BRENT KERNS (MD) – Vascular Surgery Physician, NPI 1073515565

DR. DAVID BRENT KERNS (MD) is a healthcare provider. based in Tyler, Texas. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. K0862 (TX). The NPI Number for DR. DAVID BRENT KERNS (MD) is 1073515565

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID BRENT KERNS (MD)
NPI
1073515565
Phone
(903) 595-2636
Address
700 OLYMPIC PLAZA CIR STE 510
Enumeration Date
15 August 2005
Last Update Date
28 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9035338702
Graduation Year
1987 (39 years ago)
PAC ID
4880873892
Group Practice PAC ID
8628169612
Professional Enrollment ID
I20110124000463
Address ID
TX757012031TY1040XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

492 VASCULAR SURGERY in TX

Provider Addresses for DR. DAVID BRENT KERNS (MD)

  • Olympic Plaza Circle, Tyler, Smith County, Texas, United States

    TYLER, TX 757011952

    Phone: (903) 595-2636

    Fax: (903) 595-5560

    Type: Mailing

  • 1040 S FLEISHEL AVE

    TYLER, TX 757012031

    Phone: (903) 533-8702

    Fax: (903) 533-8720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $4,624.

Total Amount is formed as General ($4,624) + Research ($0) + Ownership ($0) = $4,624.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,258).

Total Amount

$4,624

General + Research + Ownership

Payments

44

Total payment records

General Amount

$4,624

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2011-01-24

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
I20110124000463IVascular 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes813442$0
93922Ultrasound study of arm and leg arteries401284$0
93880Ultrasound of both sides of head and neck blood flow342289$0
93925Ultrasound of leg arteries or artery grafts236190$0
93926Ultrasound of one leg arteries or artery grafts13882$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 8628169612View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryTX
General Surgery, Vascular SurgeryTX

Reviews

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Frequently asked questions

How is DR. DAVID BRENT KERNS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DAVID BRENT KERNS (MD) with NPI 1073515565.
Does CMS list DR. DAVID BRENT KERNS (MD) as active?
Yes — DR. DAVID BRENT KERNS (MD) is active in the NPI listing used on this page.
What is DR. DAVID BRENT KERNS (MD) best known for clinically?
Directory data describes DR. DAVID BRENT KERNS (MD) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. DAVID BRENT KERNS (MD) list a practice location?
Patients near Tyler, Texas may find DR. DAVID BRENT KERNS (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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