DR. KERRY L EVANS (MD) – Family Medicine Physician, NPI 1174696140

DR. KERRY L EVANS (MD) is a healthcare provider. based in Woodville, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. K5922 (TX). The NPI Number for DR. KERRY L EVANS (MD) is 1174696140

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERRY L EVANS (MD)
NPI
1174696140
Phone
(409) 837-9012
Address
1922 FM 256 W
Enumeration Date
16 November 2006
Last Update Date
13 January 2016

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8882640330
Graduation Year
1995 (31 years ago)
PAC ID
4082675632
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20041026000878
Address ID
TX788613534HO3100XEXXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. KERRY L EVANS (MD)

  • 1922 FM 256 W

    WOODVILLE, TX 759792333

    Phone: (409) 837-9012

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-26

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
I20041026000878IFamily 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
99284Emergency department visit with moderate level of medical decision making130124$0
99285Emergency department visit with high level of medical decision making114108$0
99283Emergency department visit with low level of medical decision making3533$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2019$0
View full utilization report →

Insurance plans in this area (ZIP 75979)

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Provider's Procedures

DR. KERRY L EVANS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX83036Hemoglobin A1C level1111

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: 7810117223View full group profile

Reviews

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Frequently asked questions

How do I look up DR. KERRY L EVANS (MD) by NPI?
Use NPI 1174696140 when you need to reference DR. KERRY L EVANS (MD) in forms, claims, or directories.
Is DR. KERRY L EVANS (MD)'s NPI currently valid?
The extract we use shows DR. KERRY L EVANS (MD) as active.
What kind of provider is DR. KERRY L EVANS (MD)?
The page reflects Family Medicine Physician for DR. KERRY L EVANS (MD). Clinical services aligned with this taxonomy classification.
Where is DR. KERRY L EVANS (MD)'s primary listing?
We display Woodville, Texas because that is what the record indicates for DR. KERRY L EVANS (MD).
How can I contact DR. KERRY L EVANS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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