KYLEE STOUDER – Internal Medicine Physician, NPI 1093203226
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for KYLEE STOUDER
6008 MAPLE AVE APT 375
DALLAS, TX 752356584
Phone: (832) 713-0846
Type: Mailing
3501 ROSS AVE APT 3018
DALLAS, TX 752045485
Phone: (832) 713-0846
Type: Mailing
17189 INTERSTATE 45 S STE 205
SHENANDOAH, TX 773853320
Phone: (936) 270-4100
Fax: (936) 270-4101
Type: Location
Baylor University Medical Center, 3500, Gaston Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
DALLAS, TX 752462017
Phone: (214) 820-2361
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,230.
Total Amount is formed as General ($1,230) + Research ($0) + Ownership ($0) = $1,230.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($228).
Total Amount
$1,230
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $228 |
| Lilly USA, LLC | $115 |
| Exact Sciences Corporation | $106 |
| GlaxoSmithKline, LLC. | $99 |
| Bayer Healthcare Pharmaceuticals Inc. | $92 |
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: 2021-04-30
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 |
|---|---|---|---|---|
| I20210430000579 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 316 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $0 |
| G0008 | Administration of influenza virus vaccine | 42 | 42 | $0 |
Insurance plans in this area (ZIP 75235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| N E U R O L O G Y | TX | |
| Thoracic Surgery, Vascular Surgery | TX | |
| Medical Oncology, Hematology | TX | |
| General Surgery | NY | |
| G A S T R O E N T E R O L O G Y | LA | |
| Internal Medicine | TX |
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