DR. KATHLEEN LOUISE SHIDE (MD) – Radiation Oncology Physician, NPI 1073550455
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 RADIATION ONCOLOGY in TX
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Provider Addresses for DR. KATHLEEN LOUISE SHIDE (MD)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753911230
Phone: (972) 997-8000
Fax: (972) 437-9605
Type: Mailing
8th Avenue, Fort Worth, Tarrant County, Texas, 76110, United States
FORT WORTH, TX 761044110
Phone: (817) 923-4423
Fax: (817) 923-3176
Type: Location
500 S HENDERSON ST STE 200
FORT WORTH, TX 761042154
Phone: (174) 131-5008
Fax: (817) 413-1499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($105).
Total Amount
$136
General + Research + Ownership
Payments
2
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $105 |
| Siemens Medical Solutions USA, Inc. | $31 |
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: 2004-07-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040722000945 | I | Radiation Oncology | TX | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 19,510 | 167 | $0 |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 587 | 34 | $0 |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 416 | 21 | $0 |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 343 | 18 | $0 |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 306 | 14 | $0 |
Insurance plans in this area (ZIP 75391)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Surgical Oncology | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Hematology/Oncology, Internal Medicine, Medical Oncology | TX | |
| Radiation Oncology | TX | |
| - | TX | |
| - | TX | |
| Gynecological Oncology, Obstetrics/Gynecology | TX |
Reviews
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