KATHRYN S BYRD (DO) – Family Medicine Physician, NPI 1104811850

KATHRYN S BYRD (DO) is a healthcare provider. based in Trophy club, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. K5076 (TX). The NPI Number for KATHRYN S BYRD (DO) is 1104811850

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN S BYRD (DO)
NPI
1104811850
Phone
(817) 912-9920
Address
4 RIDGEWOOD DR
Enumeration Date
19 September 2005
Last Update Date
24 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179129920
Graduation Year
1996 (30 years ago)
PAC ID
6800970666
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20080303000810
Address ID
TX760347827CO5232XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for KATHRYN S BYRD (DO)

  • 4, Ridgewood Drive, Trophy Club, Denton County, Texas, 76262, United States

    TROPHY CLUB, TX 762623403

    Phone: (817) 912-9920

    Fax: (817) 912-9920

    Type: Mailing

  • 5232, Colleyville Boulevard, Colleyville, Tarrant County, Texas, 76034, United States

    STE 100

    COLLEYVILLE, TX 760347826

    Phone: (817) 912-9920

    Fax: (817) 912-9911

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $501.

Total Amount is formed as General ($501) + Research ($0) + Ownership ($0) = $501.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Abbott Laboratories ($268).

Total Amount

$501

General + Research + Ownership

Payments

34

Total payment records

General Amount

$501

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2008-03-03

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
I20080303000810IFamily PracticeTXTBD

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
36415Insertion of needle into vein for collection of blood sample172111$0
99214Established patient office or other outpatient visit, 30-39 minutes144104$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8383$0
99215Established patient office or other outpatient visit, 40-54 minutes7457$0
99213Established patient office or other outpatient visit, 20-29 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 76262)

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Provider's Procedures

KATHRYN S BYRD (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle1919

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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What unique ID ties claims to KATHRYN S BYRD (DO)?
NPI 1104811850 is assigned to KATHRYN S BYRD (DO) under the national enumeration system.
Is KATHRYN S BYRD (DO) currently active in the NPI registry?
CMS-published data lists KATHRYN S BYRD (DO) as an active registrant.
Can you summarize KATHRYN S BYRD (DO)'s specialty in plain language?
Clinically, the directory lists KATHRYN S BYRD (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KATHRYN S BYRD (DO) practice in Texas?
You will see Trophy Club, Texas on file for KATHRYN S BYRD (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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