KENNETH DEAN ARCHER (MD) – Family Medicine Physician, NPI 1083654123
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for KENNETH DEAN ARCHER (MD)
5751 KROGER DR STE 113
FORT WORTH, TX 762445633
Phone: (817) 691-8711
Type: Mailing
140, North Beach Street, Fort Worth, Tarrant County, Texas, 76111, United States
FORT WORTH, TX 76137
Phone: (817) 281-2977
Fax: (817) 788-2530
Type: Location
2000 S FM 51
DECATUR, TX 762343702
Phone: (817) 479-3818
Fax: (817) 479-3884
Type: Mailing
8479 DAVIS BLVD STE 300
NORTH RICHLAND HILLS, TX 761828604
Phone: (817) 479-3818
Fax: (817) 479-3884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $476.
Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($145).
Total Amount
$476
General + Research + Ownership
Payments
20
Total payment records
General Amount
$476
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-01-31
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 |
|---|---|---|---|---|
| I20070131000227 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 482 | 203 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 397 | 143 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 224 | 215 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 13 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 76244)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX |
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